Rockapulco Medical Assoc PC

NPI #1073698221 in Rockaway Park, New York

Provider Information

NPI Number: 1073698221
Entity Type: Organization
Organization Name: Rockapulco Medical Assoc PC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 26, 2006
Last Updated: Apr 23, 2008

Practice Location

Address: 12005 NEWPORT AVENUE
City: Rockaway Park
State: New York
ZIP Code: 11694
Phone: (718) 474-5027

Authorized Official

Name: MRS. MARYELLEN GALVIN
Title: OFFICE MGR
Phone: (718) 474-5027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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