Most Relevant Information
Provider Data
| NPI Number: | 1003276775 |
| Provider Name: | CHRISTINA A ROESCH LPN,EMT |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 260131 |
Most Important Dates
| Enumeration Date: | 02/24/2016 |
| Last Updated: | 02/24/2016 |
Provider Practice Location
361 N WYOMING AVE
N MASSAPEQUA
NY
117581521
Practice Location Phone/Fax
| Phone: | 5162099648 |
| Fax: |
Provider Mailing Location
361 N WYOMING AVE
N MASSAPEQUA
NY
117581521
Provider Mailing Phone/Fax
| Phone: | 5162099648 |
| Fax: |