Healthcare Provider Details

I. General information

NPI: 1871667287
Provider Name (Legal Business Name): JEAN OLIVIA ROIPHE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JEAN ROIPHE MD PC 27 WEST 86 STREET #1C
NEW YORK NY
10024
US

IV. Provider business mailing address

27 WEST 86 STREET #1C
NEW YORK NY
10024
US

V. Phone/Fax

Practice location:
  • Phone: 917-279-6295
  • Fax:
Mailing address:
  • Phone: 917-279-6295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number158683
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: