1336781962 NPI number — LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC

Table of content: (NPI 1336781962)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336781962 NPI number — LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336781962
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 RIVER TER APT 19B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10282-1215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-250-8212
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
299 BROADWAY STE 1115
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10007-1901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-250-8212
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2019

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA-ROSE
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
646-250-8212

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1427642560 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1346692506 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1699407320 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1215536354 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1306000682 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1336781962 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1679013379 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1033650171 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1447610092 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1518675602 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1740787308 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1366918021 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1245561935 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801236120 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1649979535 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1649984337 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1932633757 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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