Individual
MS. ADRIENNE M ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
(716) 831-1818
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
(716) 831-1818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321658
RN LICENSE
NY
01
—
F400281
NURSE PRACTITIONER
NY
Enumeration date
10/18/2006
Last updated
04/17/2019
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