Individual
VLADINE R ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9319 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11428-1049
(347) 608-6413
Mailing address
9319 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11428-1049
(347) 608-6413
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYP-12400-2017P
NY
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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