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1619454014
MICHAEL LUIS ROSA
WOODSIDE, NY
NPI
1619454014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 104098)
Enumeration Date
2018-07-27
Last Update Date
2018-07-27
Business Address
Mr. MICHAEL LUIS ROSA
4277 65TH PL
WOODSIDE, NY 11377-5054
Phone number: 718-429-2000
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Mailing Address
Mr. MICHAEL LUIS ROSA
143 E 149TH ST APT 8
BRONX, NY 10451-5347
Phone number: 646-642-6797
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