Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1710310156 |
---|---|
Provider Name | Ms. Amy I. Rozen |
First Address | Rockaway, NJ 07866-1405 |
Second Address | Morristown, NJ 07960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2013 |
Last Update Date | 24/01/2019 |