Individual
STEVEN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 PATRICIA M GENOVA DR, NEWINGTON, CT 06111-1500
(860) 696-2500
Mailing address
257 PEARL ST, ENFIELD, CT 06082-4336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001422
CT
Other
Enumeration date
10/16/2017
Last updated
03/26/2020
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