Individual
MR. CHRISTOPHER ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 KENNEY CT, NEWBURGH, NY 12550-5388
(845) 764-5951
Mailing address
91 KENNEY CT, NEWBURGH, NY 12550-5388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329707
NY
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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