Provider Demographics
NPI:1881712941
Name:ROCKLAND HOUSECALLS
Entity type:Organization
Organization Name:ROCKLAND HOUSECALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-638-4141
Mailing Address - Street 1:6 HARMON PL
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2804
Mailing Address - Country:US
Mailing Address - Phone:845-638-4141
Mailing Address - Fax:845-638-4360
Practice Address - Street 1:6 HARMON PL
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-2804
Practice Address - Country:US
Practice Address - Phone:845-638-4141
Practice Address - Fax:845-638-4360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332070-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP27167Medicare UPIN
NYOE7571Medicare ID - Type Unspecified