Individual
DR. LARINA RAQUEL ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1129 NORTHERN BLVD, SUITE 100, MANHASSET, NY 11030-3022
(516) 627-5656
Mailing address
1129 NORTHERN BLVD, SUITE 100, MANHASSET, NY 11030-3022
(516) 627-5656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV#006944-01
NY
Other
Enumeration date
02/01/2006
Last updated
03/17/2017
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