| Doctor Name: | LINDA A LAROCCO |
| NPI Number: | 1114919164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, ANP-BC, FNP |
| License Number: | F-302800-1 |
| Business Practice Address: | 59 Boniface Dr Pine Bush, NY - 125662977 |
| Business Phone Number: | 8457444499 |
| Business Fax Number: | 8457444497 |
| Mailing Address: | 59 Boniface Dr, PINE BUSH |
| State: | NY |
| Postal Code: | 125662977 |
| Phone Number: | 8457444499 |
| Fax Number: | 8457444497 |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 08/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F-302800-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |