Doctor Name: | MS. ROCHELLE PAULA KEPES |
NPI Number: | 1023331733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 401215 |
Business Practice Address: | 302 Piermont Ave Apt 1-d Nyack, NY - 109604628 |
Business Phone Number: | 8453538284 |
Business Fax Number: | |
Mailing Address: | 302 Piermont Ave, Apt 1-d NYACK |
State: | NY |
Postal Code: | 109604628 |
Phone Number: | 8453538284 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 401215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |