Provider Demographics
NPI:1023331733
Name:KEPES, ROCHELLE PAULA (NP)
Entity type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:PAULA
Last Name:KEPES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 PIERMONT AVE
Mailing Address - Street 2:APT 1-D
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4628
Mailing Address - Country:US
Mailing Address - Phone:845-353-8284
Mailing Address - Fax:
Practice Address - Street 1:302 PIERMONT AVE
Practice Address - Street 2:APT 1-D
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-4628
Practice Address - Country:US
Practice Address - Phone:845-353-8284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401215363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health