| Doctor Name: | ROSEMARY T VASSALLO |
| NPI Number: | 1235476532 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.S.W. |
| License Number: | 027256 |
| Business Practice Address: | 3767 Main Street Warrensburg, NY - 128851890 |
| Business Phone Number: | 5186232844 |
| Business Fax Number: | 5186233416 |
| Mailing Address: | 9 Carey Rd, Hhhn QUEENSBURY |
| State: | NY |
| Postal Code: | 128047880 |
| Phone Number: | 5187610300 |
| Fax Number: | 5187451378 |
| NPI Enumeration Date: | 01/08/2013 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 027256 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |