Individual
MR. NEIL ROECKLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962
(845) 359-1000
Mailing address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 359-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00561300
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401999-1
NY
Other
Enumeration date
10/04/2016
Last updated
09/17/2018
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