Individual
MISS IVERNE ELIZABETH ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W MARSHALL ST, HEMPSTEAD, NY 11550-7207
(516) 503-4920
Mailing address
200 W MARSHALL ST, HEMPSTEAD, NY 11550-7207
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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