Rosaly Carrasquillo

Individual provider Active NPI Social Worker · Howard Beach, NY

NPI 1750146429 · NPPES record last updated Feb 26, 2024

Key facts

NPI
1750146429
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
120906 (NY)
Practice address
7915 151St Ave
Howard Beach, NY 11414-1103
Phone
(347) 453-3267
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
120906NYMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120906 NY Yes

Addresses

Primary practice location

7915 151St Ave
Howard Beach, NY 11414-1103

Mailing address

7915 151St Ave
Howard Beach, NY 11414-1103
Phone (347) 453-3267

Other providers in Howard Beach, NY

All providers in Howard Beach, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.