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Organization

SOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA ROCHE DNP (PMHNP-BC)
(631) 317-9480
Entity
Organization

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

Other

Enumeration date
04/26/2021
Last updated
07/25/2025
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