Rosen, Matthew

Rosen, Matthew is an sole proprietor health care provider with primary practice located at 873 Route 45 Suite 204A, New City NY 10956-1116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rosen, Matthew can be contacted via phone (845) 213-8761.

Contact Information

Primary practice address
873 Route 45 Suite 204A New City NY 10956-1116
Fax: (845) 459-6230
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8040 New York

Profile Details

NPI number 1962451989
LBN Legal business name Rosen, Matthew
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962451989 NPPES
New York MEDICAID 00954018

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