Individual
ELECTRA ELIZABETH ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-6865
Mailing address
1000 HEMPSTEAD TURNPIKE, HEMPSTEAD, NY 11549-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033339
NY
Other
Enumeration date
09/13/2024
Last updated
05/12/2025
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