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General NPI Number Information
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NPI Number | 1346521820
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Entity Type | Organization
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Legal Business Name | TODD ALVIN ROCHMAN MD PC
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 633 GIDNEY AVE SUITE 2
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City | NEWBURGH
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State | NY
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Zip | 12550-2800
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Country | US
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Telephone | 845-569-2900
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Fax | 845-569-2901
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Provider Business Mailing Address
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Address Line | 633 GIDNEY AVE SUITE 2
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City | NEWBURGH
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State | NY
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Zip | 12550-2800
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Country | US
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Telephone | 845-569-2900
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Fax | 845-569-2901
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ERIN SULLIVAN
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Credential |
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Telephone | 914-805-2547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 168332
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 168332
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License Number State | NY
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