Individual
PROMIT ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
1494 MARSHALL ST, ELMONT, NY 11003-1332
(646) 371-0689
Mailing address
1494 MARSHALL ST, ELMONT, NY 11003-1332
(646) 371-0689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312370-01
NY
Other
Enumeration date
10/21/2025
Last updated
10/24/2025
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