Individual
HAROLD LAWRENCE LA ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 HOSPITAL RD, EAST PATCHOGUE, NY 11772-4870
(631) 654-7481
(631) 654-3722
Mailing address
9 MATSUNAYE DR, MEDFORD, NY 11763-4112
(631) 758-6177
(631) 758-6177
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
199802
NY
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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