Provider Demographics
NPI:1588408926
Name:ROSEN, LESLIE HOPE (CD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:HOPE
Last Name:ROSEN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:TIKVAH
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10 EHRET DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-5010
Mailing Address - Country:US
Mailing Address - Phone:845-426-0240
Mailing Address - Fax:
Practice Address - Street 1:10 EHRET DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-5010
Practice Address - Country:US
Practice Address - Phone:845-426-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula