Individual
KETISHA ANGELICA DE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1000
Mailing address
450 CLARKSON AVENUE, SUNY DOWNSTATE, BROOKLYN, NY 10023
(718) 270-1000
(718) 579-4836
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
283786
MA
Other
Enumeration date
08/29/2013
Last updated
10/26/2020
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