Individual provider · Type 1 NPI

Fenol Christopher Larock Ii

Peer Specialist · Valley Stream, NY

NPI number 1326878596 Active

Practice location

497 Rockaway Ave
Valley Stream, NY 11581-1909

Call (718) 845-2621 Map

Fax (718) 845-2622

Mailing address

517 Kirkby Rd
Elmont, NY 11003-3523

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X104100000X (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1326878596

Fenol Christopher Larock Ii's National Provider Identifier is 1326878596, issued on Aug 3, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Valley Stream, NY. The record was last updated on Aug 3, 2024.