Provider Demographics
NPI:1366552382
Name:BANK, ROSALIND (LCSW)
Entity type:Individual
Prefix:MISS
First Name:ROSALIND
Middle Name:
Last Name:BANK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BROAD PKWY
Mailing Address - Street 2:APT. 6D
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3733
Mailing Address - Country:US
Mailing Address - Phone:914-428-8982
Mailing Address - Fax:
Practice Address - Street 1:280 N CENTRAL AVE STE 135
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1840
Practice Address - Country:US
Practice Address - Phone:914-498-9852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0528071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN5U76Medicare UPIN