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Individual
MR. DAVID KEITH ROAE
Active
Individual
MR. DAVID KEITH ROAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
342430
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
342430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-2807681
TAX ID
NY
Enumeration date
01/08/2018
Last updated
04/13/2026
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