Individual
MS. SAMANTHA ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
167 BROADWAY, AMITYVILLE, NY 11701-2782
(631) 317-9480
(231) 216-7467
Mailing address
167 BROADWAY, AMITYVILLE, NY 11701-2782
(631) 317-9480
(231) 216-7467
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401987
NY
Other
Enumeration date
09/12/2014
Last updated
07/25/2025
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