Organization
EDMUND J ROACHE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND J ROACHE MD (OWNER)
(315) 782-4475
Entity
Organization
Contact information
Practice address
200 MULLIN STREET, SUITE 201, WATERTOWN, NY 13601
(315) 785-8591
(315) 785-8591
Mailing address
200 MULLIN STREET, SUITE 201, WATERTOWN, NY 13601
(315) 785-8591
(315) 785-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00772743
—
NY
Enumeration date
07/11/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us