Doctor Name: | MS. ANITA ESTHER LA ROSA |
NPI Number: | 1003054644 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | 075177-1 |
Business Practice Address: | 18240 Hillside Ave 1st Floor Jamaica, NY - 114324837 |
Business Phone Number: | 9175627354 |
Business Fax Number: | |
Mailing Address: | 14458 177th St, JAMAICA |
State: | NY |
Postal Code: | 114344918 |
Phone Number: | 7185285392 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2009 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 075177-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |