Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edzer Roche, RPA

Individual provider Medical Physician Assistant · NPI 1588895205

Edzer Roche, RPA is a Medical Physician Assistant in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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Practice location Address checks out

4904 19th Ave
Astoria, NY 11105-1002
Phone: (718) 777-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 005765 (NY)

Record details

NPI number1588895205
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorYes
NPI enumeratedJuly 29, 2009
Last updated in NPPESJuly 29, 2009
Mailing address4904 19th Ave, Astoria, NY 11105-1002

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