Individual
ALLISON GRACE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 IRVING AVE, STE 204, SYRACUSE, NY 13210
(315) 634-4112
(315) 634-4117
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
307227
NY
207V00000X
Obstetrics & Gynecology Physician
MT205097
PA
207VX0201X
Gynecologic Oncology Physician
Primary
307227
NY
207VX0201X
Gynecologic Oncology Physician
MD460665
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT205097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670804
—
NY
Enumeration date
06/12/2013
Last updated
10/05/2020
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