Individual
MS. PATRICIA ALICE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, NPP
Contact information
Practice address
1500 GENESEE ST, UTICA, NY 13502-5104
(315) 735-9501
Mailing address
1500 GENESEE ST, UTICA, NY 13502-5104
(315) 735-9501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401714
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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