Active NPIIndividual providerSole proprietor

Mr. Ernest Roebuck, CCC-SLP

Speech-Language Pathologist, in Bedford, New York

NPI Number1063762045
Practice location
59 Brook Farm Ln, Bedford, NY 10506-1313
Fax
—
Last updated
December 19, 2014

Ernest Roebuck is a Speech-Language Pathologist, based in Bedford, NY. Ernest Roebuck practices in Bedford, NY and has the professional credentials of CCC-SLP. The NPI Number for Ernest Roebuck is 1063762045 and holds a License No. 022986 (NY). The current practice location address for Ernest Roebuck is 59 Brook Farm Ln, Bedford, NY 10506-1313 and can be reached out via phone at 914-844-7241.

Provider Profile Details

NPI Number
1063762045
Provider Name
Ernest Roebuck
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
59 Brook Farm Ln, Bedford, NY 10506-1313
Phone Number
914-844-7241
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2012
Last Update Date
December 19, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Brook Farm Ln
Bedford, NY 10506-1313
Zip
10506-1313
Phone Number
914-844-7241
Bedford, NY 10506Get directions →

Provider Business Mailing Address Details

Address
59 Brook Farm Ln
Bedford, NY 10506-1313
City
Bedford
State
NY
Zip
10506-1313
Phone Number
914-844-7241

License Information

License Number
022986
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ernest Roebuck, CCC-SLP?

The NPI number of Mr. Ernest Roebuck, CCC-SLP is 1063762045. It was assigned on September 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Ernest Roebuck, CCC-SLP?

Mr. Ernest Roebuck, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 022986.

Where does Mr. Ernest Roebuck, CCC-SLP practice?

The practice location is 59 Brook Farm Ln, Bedford, NY 10506-1313. The office can be reached at 914-844-7241 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063762045 directly on the NPPES registry website.

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