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Rosendo Icochea

NPI 1427294370 · on the registry since 2008 · sole proprietor

Practice

Address
40-23 A Junction Blvd
Corona, NY 11368
Phone
(718) 672-2522
Fax
(718) 779-0782

Registry record

Primary taxonomy
208200000X
208200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York