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NPI Code Detail

MEDICARE: DANAE ANGEL ROLDAN

MEDICARE: DANAE ANGEL ROLDAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT26794FL

General Provider Information

NPI Number : 1134976046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANAE ANGEL ROLDAN
Provider Business Mailing Address
First Line : 91 LAKES RD STE 3
Second Line :
City : MONROE
State : NY
Zip : 10950-2694
Country : US
Telephone Number : 845-827-6227
Fax Number :
Provider Business Practice Location Address
First Line : 91 LAKES RD STE 3
Second Line :
City : MONROE
State : NY
Zip : 10950-2694
Country : US
Telephone Number : 845-827-6227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 01/14/2026

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Directions to “ DANAE ANGEL ROLDAN ” Practice Location

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