Provider Demographics
NPI:1780127456
Name:LARRIE ROCKMACHER DPM LLC
Entity type:Organization
Organization Name:LARRIE ROCKMACHER DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:CITINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-218-3322
Mailing Address - Street 1:272 N BEDFORD ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1168
Mailing Address - Country:US
Mailing Address - Phone:914-218-3322
Mailing Address - Fax:914-218-3515
Practice Address - Street 1:272 N BEDFORD ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1168
Practice Address - Country:US
Practice Address - Phone:914-218-3322
Practice Address - Fax:914-218-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0021771213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty