Individual
DR. ABE ROA
Active
Individual
DR. ABE ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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