Individual
NATASHA LAROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 FILLMORE AVE, BROOKLYN, NY 11234-4636
(347) 582-5262
Mailing address
5215 FILLMORE AVE, BROOKLYN, NY 11234-4636
(347) 582-5262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F341397-1
NY
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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