Organization
DANIEL LAROCHE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BAEZ (COO)
(516) 693-0700
Entity
Organization
Contact information
Practice address
21543 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1736
(718) 217-0424
(718) 217-0459
Mailing address
1100 SHAMES DR, SUITE 100, WESTBURY, NY 11590-1765
(516) 693-0700
(516) 693-0271
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
202107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749444
—
NY
Enumeration date
01/22/2007
Last updated
05/21/2008
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