Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 4575 | NY |
NPI | 1003063363 |
---|---|
Provider Name | Robert D Rockwell |
First Address | Garrison, NY 10524-0150 |
Second Address | Garrison, NY 10524-0150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2008 |
Last Update Date | 19/08/2008 |