Provider Demographics
NPI:1861686941
Name:ROHAN, DENISE JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:JOAN
Last Name:ROHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WOODHAMPTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603
Mailing Address - Country:US
Mailing Address - Phone:914-428-3767
Mailing Address - Fax:
Practice Address - Street 1:350 FIFTH AVENUE
Practice Address - Street 2:SPECIAL CITIZENS FUTURE UNLIMITED SUITE 627
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10118
Practice Address - Country:US
Practice Address - Phone:914-428-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262751163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00861216Medicaid