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Contact Information

ROSENDO S ICOCHEA
40-23 A JUNCTION BLVD
CORONA, NY11368
 Phone: 718-672-2522
 Fax: 718-779-0782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROSENDO S ICOCHEA · (Male)

NPI Number 1427294370
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2008
Last updated 01/29/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 193456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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