Individual
FENOL CHRISTOPHER LAROCK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
497 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
(718) 845-2621
(718) 845-2622
Mailing address
517 KIRKBY RD, ELMONT, NY 11003-3523
(516) 853-1609
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
104100000X
NY
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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