Doctor Name: | MR. JOSEPH CHARLES ROCCOSALVO |
NPI Number: | 1003040064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R-LCSW, BCD, CASAC |
License Number: | 6489 |
Business Practice Address: | 2731 Cropsey Ave Brooklyn, NY - 112146816 |
Business Phone Number: | 6465098971 |
Business Fax Number: | |
Mailing Address: | 2731 Cropsey Ave, BROOKLYN |
State: | NY |
Postal Code: | 112146816 |
Phone Number: | 6465098971 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 08/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6489 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |