Provider Demographics
NPI:1518543669
Name:GARCIA CEPEDA, ROSSY ALEJANDRA
Entity type:Individual
Prefix:
First Name:ROSSY
Middle Name:ALEJANDRA
Last Name:GARCIA CEPEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSSY
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:525 FDR DR APT 11A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2038
Mailing Address - Country:US
Mailing Address - Phone:917-392-2651
Mailing Address - Fax:
Practice Address - Street 1:307 W 38TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-9537
Practice Address - Country:US
Practice Address - Phone:212-695-4564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator