Roosa, Mary

Roosa, Mary is an individual health care provider with primary practice located at 345 Mountain View Avenue , Port Ewen NY 12466-0549. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Roosa, Mary can be contacted via phone (845) 338-1945.

Contact Information

Primary practice address
345 Mountain View Avenue Port Ewen NY 12466-0549
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006248 New York

Profile Details

NPI number 1811274566
LBN Legal business name Roosa, Mary
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated Oct 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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