Individual
VERONIQUE MIDOUINE LAROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 BURR RD, EAST NORTHPORT, NY 11731-5332
(845) 313-3434
Mailing address
36 BURR RD, EAST NORTHPORT, NY 11731-5332
(845) 313-3434
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/20/2024
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