Edmund J Roache Md

LBN: Edmund J Roache Md
Edmund J Roache Md is an health care organization with primary practice located at 200 Mullin Street Suite 201, Watertown NY 13601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Edmund J Roache Md can be contacted via phone (315) 785-8591, or through Roache, Edmund J via phone (315) 782-4475.

Contact Information

Primary practice address
200 Mullin Street Suite 201 Watertown NY 13601
Phone: (315) 785-8591
Fax: (315) 785-8591
Website:
Map and Directions
Authorized official contact:
Name: Roache, Edmund J Doctor of Medicine (MD)
Phone: (315) 782-4475

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 153941 New York

Profile Details

NPI number 1245265321
LBN Legal business name Edmund J Roache Md
DBA Doing business as
Authorized official Roache, Edmund J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245265321 NPPES
New York MEDICAID 00772743

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