Provider Demographics
NPI:1760576391
Name:LAROCCO, VERONIQUE (DC)
Entity Type:Individual
Prefix:DR
First Name:VERONIQUE
Middle Name:
Last Name:LAROCCO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:VERONIQUE
Other - Middle Name:
Other - Last Name:BOULAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:701 MUNRO AVE
Mailing Address - Street 2:P O BOX 436
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3424
Mailing Address - Country:US
Mailing Address - Phone:914-381-3237
Mailing Address - Fax:914-381-3238
Practice Address - Street 1:701 MUNRO AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3424
Practice Address - Country:US
Practice Address - Phone:914-381-3237
Practice Address - Fax:914-381-3238
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011271111N00000X
MA2917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor