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Individual

ERIC JASON ROFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CROSFIELD AVE, SUITE 201, WEST NYACK, NY 10994-2209
(845) 727-1370
(845) 727-1377
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
243426
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
243426
LICENSE
NY
01
25MA07928400
LICENSE
NJ
Enumeration date
04/06/2007
Last updated
04/04/2019
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