Individual
DANIEL LAROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21541 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1736
(718) 217-0424
(718) 217-0459
Mailing address
21541 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1736
(718) 217-0424
(718) 217-0459
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
202107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749444
—
NY
Enumeration date
07/11/2006
Last updated
01/12/2011
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