Individual provider · Type 1 NPI

Decia Roach

Student in an Organized Health Care Education/Training Program · Whitestone, NY

NPI number 1790401586 Active

Practice location

15050 14th Rd
Whitestone, NY 11357-2609

Call (718) 767-0091 Map

Mailing address

242 Concord Ave
West Hempstead, NY 11552-1202

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790401586

Decia Roach's National Provider Identifier is 1790401586, issued on Oct 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Whitestone, NY. The record was last updated on Oct 13, 2022.