Ingeborg V. Del Rosario

Individual provider Active NPI Psychoanalysis Psychologist · Sunnyside, NY

NPI 1376614941 · NPPES record last updated Aug 1, 2007

Key facts

NPI
1376614941
Entity type
Individual (NPI type 1)
Primary specialty
Psychoanalysis Psychologist 103TP0814X
License
000598 (NY)
Practice address
4119 41St St
Apt. 6D
Sunnyside, NY 11104-3258
Phone
(347) 251-3919
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 000598 NY Yes
Pastoral Counselor 101YP1600X

Addresses

Primary practice location

4119 41St St
Apt. 6D
Sunnyside, NY 11104-3258

Mailing address

4119 41St St
Apt. 6D
Sunnyside, NY 11104-3258
Phone (347) 251-3919

Other providers in Sunnyside, NY

All providers in Sunnyside, NY · Psychoanalysis Psychologist in New York

Sources for this page

Verify at the official NPI Registry.