Individual
RENITHA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5769
(516) 520-2201
Mailing address
1236 RXR PLZ, UNIONDALE, NY 11556-1236
(516) 252-3939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
314712
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/03/2019
Last updated
08/25/2023
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