Individual
DR. MARIE-LOURDES ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5610 2ND AVE, BROOKLYN, NY 11220-3599
(718) 630-7499
(718) 630-6877
Mailing address
5610 2ND AVE, BROOKLYN, NY 11220-3599
(718) 630-7499
(718) 630-6877
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
190770
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01421407
—
NY
Enumeration date
11/03/2006
Last updated
04/27/2011
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