Provider Demographics
NPI:1053168377
Name:GARCIA RAUSSEO, ROSANA JOSE
Entity type:Individual
Prefix:MRS
First Name:ROSANA
Middle Name:JOSE
Last Name:GARCIA RAUSSEO
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 1:1901 FIRST AVENUE AT 97TH STREET NYC H&H METROPOLITAN D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-6771
Mailing Address - Fax:212-423-8099
Practice Address - Street 1:1901 FIRST AVENUE AT 97TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-6771
Practice Address - Fax:212-423-8099
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program