Rochlen, Glenn Kevin
Rochlen, Glenn Kevin is an sole proprietor health care provider with primary practice located at 11206 Springfield Blvd , Queens Village NY 11429-2650. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rochlen, Glenn Kevin can be contacted via phone (718) 479-4100.Contact Information
Primary practice address
11206 Springfield Blvd
Queens Village NY 11429-2650
Phone: (718) 479-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 040418 | New York |
Profile Details
| NPI number | 1194926287 |
|---|---|
| LBN Legal business name | Rochlen, Glenn Kevin |
| Credentials | DENTIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Feb 19th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194926287 | NPPES |
| New York | MEDICAID | 01285890 |
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