Provider Demographics
NPI:1598145245
Name:ROSADO, CARLOS III (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:
Last Name:ROSADO
Suffix:III
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 STUYVESANT OVAL APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2047
Mailing Address - Country:US
Mailing Address - Phone:212-979-8920
Mailing Address - Fax:212-979-8920
Practice Address - Street 1:11 STUYVESANT OVAL APT 2G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2047
Practice Address - Country:US
Practice Address - Phone:212-979-8920
Practice Address - Fax:212-979-8920
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY686076163W00000X
NYF349395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse