Roque, Clemente T
Roque, Clemente T is an individual health care provider with primary practice located at University Hospital , Stony Brook NY 11794-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Roque, Clemente T can be contacted via phone (631) 444-6919.Contact Information
Primary practice address
University Hospital
Stony Brook NY 11794-0001
Phone: (631) 444-6919
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 158433 | New York |
Profile Details
NPI number | 1902840416 |
---|---|
LBN Legal business name | Roque, Clemente T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902840416 | NPPES |
New York | MEDICAID | 00840304 | |
New York | Other | 23D55 | |
New York | Other | 4314845 |
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