Individual
DR. ROY LACEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6072
Mailing address
67 PINE HILL RD, PORT JEFFERSON, NY 11777-2123
(347) 563-1446
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
313109
NY
2086S0127X
Trauma Surgery Physician
313109
NY
Other
Enumeration date
09/22/2014
Last updated
04/27/2022
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