Individual
DR. ALEXANDRA LAROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1111 MONTAUK HWY, WEST ISLIP, NY 11795-4910
(631) 422-4450
Mailing address
1111 MONTAUK HWY STE 100, WEST ISLIP, NY 11795-4910
(631) 422-4450
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006843-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400171620
PTAN
—
Enumeration date
06/30/2014
Last updated
07/21/2022
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