Individual
ROY M MESENSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CORPSMAN
Contact information
Practice address
215 DRUM RD, RM D 113, STATEN ISLAND, NY 10305-5001
(718) 354-4414
(718) 354-4415
Mailing address
215 DRUM RD, RM D 113, STATEN ISLAND, NY 10305-5001
(718) 354-4414
(718) 354-4415
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/09/2007
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