Individual
DR. ABE ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7309 MYRTLE AVE, GLENDALE, NY 11385-7418
(718) 821-4200
(718) 821-5600
Mailing address
7309 MYRTLE AVE, GLENDALE, NY 11385-7418
(718) 821-4200
(718) 821-5600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
249234
NY
Other
Enumeration date
06/23/2008
Last updated
08/21/2014
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