Rose, Nicole

Rose, Nicole is an individual health care provider with primary practice located at 6240 Woodhaven Blvd , Rego Park NY 11374-3733. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Rose, Nicole can be contacted via phone (718) 426-8110.

Contact Information

Primary practice address
6240 Woodhaven Blvd Rego Park NY 11374-3733
Phone: (718) 426-8110
Fax: (718) 426-8117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 443401 New York
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000659-1 New York

Profile Details

NPI number 1417391707
LBN Legal business name Rose, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Apr 17th, 2013 - 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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