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Organization
LINDA A. LAROCCO, FAMILY NURSE PRACTITIONER, PLLC
Active
Organization
LINDA A. LAROCCO, FAMILY NURSE PRACTITIONER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LAROCCO FNP (OWNER)
(845) 744-4499
Entity
Organization
Contact information
Practice address
59 BONIFACE DR, PINE BUSH, NY 12566-7011
(845) 744-4499
Mailing address
59 BONIFACE DR, PO BOX 1579, PINE BUSH, NY 12566-7011
(845) 744-4499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337273
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02391335
—
NY
Enumeration date
10/05/2012
Last updated
10/05/2012
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