Individual
ROLAND LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN MSN
Contact information
Practice address
11 W 172ND ST APT 3B, BRONX, NY 10452-2213
(646) 715-8302
Mailing address
11 W 172ND ST APT 3B, BRONX, NY 10452-2213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
656075
NY
363L00000X
Nurse Practitioner
Primary
F-342249-1
NY
Other
Enumeration date
06/10/2017
Last updated
09/23/2020
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