LUIS C ROA

BRONX, NY
NPI1972274132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  347661)
Enumeration Date2021-09-27
Last Update Date2021-12-06
Business Address
LUIS C ROA FNP
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-992-7669
Mailing Address
LUIS C ROA FNP
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-992-7669
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