Individual
DANIELLE LARAQUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 659-8559
Mailing address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 659-8559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
166209
NY
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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