Roche, Kenneth J
Roche, Kenneth J is an sole proprietor health care provider with primary practice located at 200 Carleton Ave Ste D , East Islip NY 11730-1222. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Roche, Kenneth J can be contacted via phone (631) 579-3503.Contact Information
Primary practice address
200 Carleton Ave Ste D
East Islip NY 11730-1222
Phone: (631) 579-3503
Fax: (631) 446-1136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 004685-1 | New York |
Profile Details
| NPI number | 1578862728 |
|---|---|
| LBN Legal business name | Roche, Kenneth J |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2011 |
| Last updated | Feb 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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