Individual
DR. ROGER J FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 SQUADRON BLVD, NEW CITY, NY 10956-5210
(845) 634-9729
(845) 708-0488
Mailing address
18 SQUADRON BLVD, NEW CITY, NY 10956-5210
(845) 634-9729
(845) 708-0488
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
174792-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01480079
—
NY
Enumeration date
10/20/2005
Last updated
12/19/2013
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