Individual
LIONEL EMANUEL DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22414 MERRICK BLVD, LAURELTON, NY 11413-2023
(718) 949-6433
(718) 949-0331
Mailing address
1975 LINDEN BLVD, SUITE 105, ELMONT, NY 11003-4025
(516) 285-2850
(516) 285-0038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
172523
NY
207RN0300X
Nephrology Physician
Primary
172523
NY
Other
Enumeration date
08/31/2006
Last updated
06/10/2021
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