Healthcare Provider Details

I. General information

NPI: 1558455832
Provider Name (Legal Business Name): TODD ALVIN ROCHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STONY BROOK CT 1
NEWBURGH NY
12550-6522
US

IV. Provider business mailing address

400 STONY BROOK CT 1
NEWBURGH NY
12550-6522
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-0600
  • Fax: 866-733-1910
Mailing address:
  • Phone: 845-565-0600
  • Fax: 866-733-1910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number168332
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: