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Individual

HENRY S ROANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 EAST GENESEE ST, SUITE 130, SYRACUSE, NY 13202
(315) 464-3103
(315) 464-3944
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
018405
NY
103TB0200X
Cognitive & Behavioral Psychologist
667
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025287200
NE
Enumeration date
03/23/2007
Last updated
07/25/2018
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