Individual
ZENAIDA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
253 MAIN ST, DANSVILLE, NY 14437-1111
(585) 335-2296
(585) 335-2299
Mailing address
253 MAIN ST, DANSVILLE, NY 14437-1111
(585) 335-2296
(585) 335-2299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
123249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00051038001
UNIVERA
NY
01
—
0044280
GROUP HEALTH INCORPORATED
NY
05
—
00464411
—
NY
01
—
102232CK
PREFERRED CARE
NY
01
—
2838
BLUE CROSS BLUE SHIELD
NY
01
—
5537299
AETNA
NY
Enumeration date
05/01/2006
Last updated
09/28/2007
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