Individual
ROY ROE WARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6220
Mailing address
333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
(631) 744-3671
(631) 744-6205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
171332-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01376470
—
NY
Enumeration date
12/28/2006
Last updated
12/09/2013
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