Individual
SEAN ROACH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 FRONT ST, MILLBROOK, NY 12545-5948
(845) 677-5021
Mailing address
2 FRONT ST, MILLBROOK, NY 12545-5948
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
002872
NY
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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