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Individual
DR. YVONNE AMANDA ROQUE
Active
Individual
DR. YVONNE AMANDA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
251143
NY
2084P0800X
Psychiatry Physician
A87719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03110698
—
NY
Enumeration date
08/19/2006
Last updated
10/15/2009
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