Individual
ROSENDO SEGUNDO ICOCHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40-23 A JUNCTION BLVD, CORONA, NY 11368
(718) 672-2522
(718) 779-0782
Mailing address
4902 QUEENS BLVD BSMT B1, WOODSIDE, NY 11377-4444
(201) 638-6801
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
193456
NY
Other
Enumeration date
12/24/2008
Last updated
01/29/2026
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