Rosendahl, Eileen H

Rosendahl, Eileen H is an sole proprietor health care provider with primary practice located at 585 Plandome Rd Suite 106, Manhasset NY 11030-1971. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Rosendahl, Eileen H can be contacted via phone (516) 869-8877.

Contact Information

Primary practice address
585 Plandome Rd Suite 106 Manhasset NY 11030-1971
Phone: (516) 869-8877
Fax: (516) 869-8877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 011615 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011615 New York
Behavioral Health & Social Service Providers / Health Service 103TH0100X 011615 New York

Profile Details

NPI number 1790899854
LBN Legal business name Rosendahl, Eileen H
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Dec 10th, 2015 - about 9 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 1790899854 NPPES
New York MEDICAID 01459750
New York Other AS972
New York Other VN1131
New York Other V7C833

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