Individual
MICHELLE ROCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(247) 355-0535
Mailing address
1366 FALL RIVER DR, CONYERS, GA 30013-7416
(347) 355-0535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN290092
GA
363LF0000X
Family Nurse Practitioner
339078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W16008176M
DEA
NY
Enumeration date
02/02/2016
Last updated
08/22/2023
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