Individual
DR. ALFREDO C. ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2270 KIMBALL ST, SUITE 102, BROOKLYN, NY 11234-5139
(718) 253-6616
(718) 407-1140
Mailing address
2270 KIMBALL ST, SUITE 102, BROOKLYN, NY 11234-5139
(718) 253-6616
(718) 407-1140
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
135527-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01832897
—
NY
Enumeration date
05/17/2006
Last updated
01/15/2008
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