Roach, Shelisha

Roach, Shelisha is an individual health care provider with primary practice located at 18 Matthew Dr , Amityville NY 11701-1718. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roach, Shelisha can be contacted via phone (631) 662-8474.

Contact Information

Primary practice address
18 Matthew Dr Amityville NY 11701-1718
Phone: (631) 662-8474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 736087 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F349466 New York

Profile Details

NPI number 1629627708
LBN Legal business name Roach, Shelisha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Jul 4th, 2022 - about 4 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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