Roach, Debra C.

Roach, Debra C. is an sole proprietor health care provider with primary practice located at 1357 Monroe Ave , Rochester NY 14618-1005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roach, Debra C. can be contacted via phone (585) 442-9601.

Contact Information

Primary practice address
1357 Monroe Ave Rochester NY 14618-1005
Phone: (585) 442-9601
Fax: (585) 442-9606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 008455 New York

Profile Details

NPI number 1598719965
LBN Legal business name Roach, Debra C.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Oct 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598719965 NPPES
New York Other 0005694336 AETNA PROVIDER #
New York Other P010008455 AETNA PROVIDER #
New York Other 103240FC AETNA PROVIDER #

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