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Individual

DR. DAVID ROANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
317 E 17TH ST, FIERMAN HALL - 9TH FLOOR, NEW YORK, NY 10003-3804
(212) 420-3480
(212) 420-3442
Mailing address
317 E 17TH ST, FIERMAN HALL - 9TH FLOOR, NEW YORK, NY 10003-3804
(212) 420-3480
(212) 420-3442

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
175007-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01206826
NY
Enumeration date
11/16/2006
Last updated
07/09/2007
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