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1386183986
CHRISTOP LA ROCCA
BRONX, NY
NPI
1386183986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- CHRISTOP LA ROCCA
721 EAGLE AVE
BRONX, NY 01455
Phone number: 718-578-7416
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Mailing Address
-- CHRISTOP LA ROCCA
721 EAGLE AVE
BRONX, NY 10455-1423
Phone number: 718-578-7416
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