Individual
CHRISTOP LA ROCCA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 EAGLE AVE, BRONX, NY 01455
(718) 578-7416
Mailing address
721 EAGLE AVE, BRONX, NY 10455-1423
(718) 578-7416
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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