Individual
FRESNEL DESROCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 DERBY ST, VALLEY STREAM, NY 11581-1818
(516) 252-9389
(516) 252-9389
Mailing address
72 DERBY ST, VALLEY STREAM, NY 11581-1818
(516) 252-9389
(516) 252-9389
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
05/07/2018
Last updated
02/10/2020
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