Individual
LESLIE ANN ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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