Provider Demographics
NPI:1538949953
Name:ROWE-COSENTINO, EVELYN (LCAT, CGP)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:ROWE-COSENTINO
Suffix:
Gender:F
Credentials:LCAT, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 WEST 45TH ST. #5E
Mailing Address - Street 2:SE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036
Mailing Address - Country:US
Mailing Address - Phone:917-673-5672
Mailing Address - Fax:
Practice Address - Street 1:210 WEST 70TH STREET
Practice Address - Street 2:SUITE 001
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-673-5672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000930-41225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist