Individual
INGRID DESROCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 COMMACK RD UNIT 150F, COMMACK, NY 11725-5009
(631) 499-4114
Mailing address
500 COMMACK RD UNIT 150F, COMMACK, NY 11725-5009
(631) 499-4114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
292522
NY
208000000X
Pediatrics Physician
Primary
79738
CT
Other
Enumeration date
04/27/2015
Last updated
12/02/2025
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