Individual
CRISTA LAROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 KNOLLS DR, NEW HYDE PARK, NY 11040-1146
(516) 650-9441
Mailing address
32 KNOLLS DR, NEW HYDE PARK, NY 11040-1146
(516) 650-9441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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