Most Relevant Information
Provider Data
| NPI Number: | 1003295494 |
| Provider Name: | HEATHER RACHEL ROSEN PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 30234 |
Most Important Dates
| Enumeration Date: | 05/19/2015 |
| Last Updated: | 11/05/2023 |
Provider Practice Location
53 E 96TH ST OFC 1A
NEW YORK
NY
101280815
Practice Location Phone/Fax
| Phone: | 2126598724 |
| Fax: |
Provider Mailing Location
1 GUSTAVE L LEVY PL # 1230
NEW YORK
NY
100296504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |