Larocco, Linda A

Larocco, Linda A is an sole proprietor health care provider with primary practice located at 59 Boniface Dr , Pine Bush NY 12566-2977. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Larocco, Linda A can be contacted via phone (845) 744-4499.

Contact Information

Primary practice address
59 Boniface Dr Pine Bush NY 12566-2977
Phone: (845) 744-4499
Fax: (845) 744-4497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F-302800-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337273 New York

Profile Details

NPI number 1114919164
LBN Legal business name Larocco, Linda A
Credentials DNP, ANP-BC, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Aug 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114919164 NPPES
New York MEDICAID 02391335

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