Individual
BEVERLY JANE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 IRVING AVE RM 107, SYRACUSE, NY 13210-1603
(315) 470-7740
(315) 470-2923
Mailing address
725 IRVING AVE RM 107, SYRACUSE, NY 13210-1603
(315) 470-7740
(315) 470-2923
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
216204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02414533
—
NY
Enumeration date
02/07/2007
Last updated
07/08/2007
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