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Talia Roffel

NPI Registration Record

Provider / OrganizationNPIDate Certified
TALIA ROFFEL13569567262020-09-12
Entity TypeIndividual
Provider Name Talia Roffel
Practice Office Address300 COMMUNITY DR
MANHASSET, NY US
Practice Office Telephone5165620100
Mailing Address320 LONGWOOD XING
LAWRENCE, NY 115592715 US
Business Telephone5167617334
HPT Codes
CodeLicense NoState
363LF0000X PRIMARYF346066 NY
OPI Codes

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