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Contact Information

KENNETH J ROCHE, LMHC
200 CARLETON AVE STE D
EAST ISLIP, NY11730-1222
 Phone: 631-579-3503
 Fax: 631-446-1136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KENNETH J ROCHE · (Male)

NPI # 1578862728
Status Active
Credentials LMHC (Licensed Mental Health Counselor)
Entity Individual
Enumeration date 03/26/2011
Last updated 02/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 004685-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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