Individual
MR. ELVIRO EGISTO LAROCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
379 PARK AVE, ROCHESTER, NY 14607-2807
(585) 705-0974
Mailing address
1 PLEASANT ST, APT# 502, ROCHESTER, NY 14604-1455
(585) 705-0974
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008610-1
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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