EDZER ROCHE

ASTORIA, NY
NPI1588895205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  005765)
Enumeration Date2009-07-29
Last Update Date2009-07-29
Business Address
-- EDZER ROCHE RPA
4904 19TH AVE
ASTORIA, NY 11105-1002
Phone number: 718-777-3494
Mailing Address
-- EDZER ROCHE RPA
4904 19TH AVE
ASTORIA, NY 11105-1002
Phone number: 718-777-3494
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