FRED ROCHE

NEW YORK, NY
NPI1982842696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17744)
Enumeration Date2009-02-03
Last Update Date2009-02-03
Business Address
-- FRED ROCHE CASAC-T
139 W 93RD ST APT 3A
NEW YORK, NY 10025-7542
Phone number: 917-860-2874
Mailing Address
-- FRED ROCHE CASAC-T
139 W 93RD ST APT 3A
NEW YORK, NY 10025-7542
Phone number: 917-860-2874