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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902840416 NPPES
New York MEDICAID 00840304
New York Other 23D55
New York Other 4314845

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