Individual
MR. JEFFERY SCOTT ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
91 PERIMETER RD, SUITE 100, ROME, NY 13441-4018
(315) 337-2156
(315) 337-2497
Mailing address
412 HIGH ST, CANASTOTA, NY 13032-1524
(315) 337-2156
(315) 337-2497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699711
MVP
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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