Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rosa Luis

Individual provider Specialist · NPI 1164225405

Rosa Luis is a Specialist in Woodside, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

3960 54th St Apt 1S
Woodside, NY 11377-4203
Phone: (646) 545-9614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1240781 (NY)

Record details

NPI number1164225405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address3960 54th St Apt 1s, Woodside, NY 11377-4203

Other providers in Woodside