Provider Demographics
NPI:1346521820
Name:TODD ALVIN ROCHMAN MD PC
Entity Type:Organization
Organization Name:TODD ALVIN ROCHMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-805-2547
Mailing Address - Street 1:633 GIDNEY AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2800
Mailing Address - Country:US
Mailing Address - Phone:845-569-2900
Mailing Address - Fax:845-569-2901
Practice Address - Street 1:633 GIDNEY AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2800
Practice Address - Country:US
Practice Address - Phone:845-569-2900
Practice Address - Fax:845-569-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1683321041C0700X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty