Individual
NIKKI COLLEEN LAROCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2939 163RD ST, FLUSHING, NY 11358-1423
(347) 307-3025
Mailing address
2939 163RD ST, FLUSHING, NY 11358-1423
(347) 307-3025
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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