Provider Demographics
NPI:1487929378
Name:ROFFE, ANNE JULIE (OT)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:JULIE
Last Name:ROFFE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 MEADOWVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2106
Mailing Address - Country:US
Mailing Address - Phone:516-279-9137
Mailing Address - Fax:
Practice Address - Street 1:289 MEADOWVIEW AVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2106
Practice Address - Country:US
Practice Address - Phone:516-279-9137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008618-0172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker