Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 401215 | NY |
NPI | 1023331733 |
---|---|
Provider Name | Ms. Rochelle Paula Kepes |
First Address | Nyack, NY 10960-4628 |
Second Address | Nyack, NY 10960-4628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2010 |
Last Update Date | 09/03/2010 |