Provider Demographics
NPI:1154519700
Name:ROCKMAN, JOSEPH (MS, LAC, LMT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ROCKMAN
Suffix:
Gender:M
Credentials:MS, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 E BROADWAY
Mailing Address - Street 2:2F
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4757
Mailing Address - Country:US
Mailing Address - Phone:917-803-5136
Mailing Address - Fax:
Practice Address - Street 1:527 W PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3011
Practice Address - Country:US
Practice Address - Phone:917-803-5136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003407-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist