Provider Demographics
NPI:1730345992
Name:ROZET, NINA
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:ROZET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 99TH ST
Mailing Address - Street 2:5A
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1909
Mailing Address - Country:US
Mailing Address - Phone:718-897-1570
Mailing Address - Fax:718-897-1570
Practice Address - Street 1:1632 E 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1108
Practice Address - Country:US
Practice Address - Phone:917-318-0382
Practice Address - Fax:718-897-1570
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004119-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health