Rochlen, Glenn Kevin

Rochlen, Glenn Kevin is an sole proprietor health care provider with primary practice located at 11206 Springfield Blvd , Queens Village NY 11429-2650. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rochlen, Glenn Kevin can be contacted via phone (718) 479-4100.

Contact Information

Primary practice address
11206 Springfield Blvd Queens Village NY 11429-2650
Phone: (718) 479-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 040418 New York

Profile Details

NPI number 1194926287
LBN Legal business name Rochlen, Glenn Kevin
Credentials DENTIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Feb 19th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194926287 NPPES
New York MEDICAID 01285890

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