Pedro J Roque MD

NPI 1275617987 - Internal Medicine - 207R00000X

NPI Details
NPI 1275617987
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5 WICKS ROAD
SUITE 1A
BRENTWOOD NY, 11717-3508, US
Phone (631) 435-2133
Fax (631) 435-4365
Business Location
5 WICKS ROAD
SUITE 1A
BRENTWOOD NY, 11717-3508, US
Phone (631) 435-2133
Fax (631) 435-4365
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 157218
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According to our database, Pedro J Roque MD NPI is 1275617987, taxonomy code is 207R00000X and license number is 157218, license state is located at New York. Pedro J Roque MD physically located at 5 Wicks Road, Brentwood NY, 11717-3508. NPI Number Pedro J Roque MD has the Individual type.

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1275617987 NPI number is provided on an as is basis without warranty of any kind. 1275617987 is maintained by the National Plan & Provider Enumeration System. The contents of Pedro J Roque MD are for informational purposes only.