Individual
AUDREY ROCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
155679
NY
207R00000X
Internal Medicine Physician
155679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01634862
—
NY
Enumeration date
11/08/2006
Last updated
04/10/2008
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