Roy, Beverly Jane
Roy, Beverly Jane is an individual health care provider with primary practice located at 725 Irving Ave Rm 107 , Syracuse NY 13210-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Roy, Beverly Jane can be contacted via phone (315) 470-7740.Contact Information
Primary practice address
725 Irving Ave Rm 107
Syracuse NY 13210-1603
Phone: (315) 470-7740
Fax: (315) 470-2923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 216204 | New York |
Profile Details
| NPI number | 1114067360 |
|---|---|
| LBN Legal business name | Roy, Beverly Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114067360 | NPPES |
| New York | MEDICAID | 02414533 |
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