Doctor Name: | AMY ELIZABETH ROY |
NPI Number: | 1003802786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F301625 |
Business Practice Address: | 1000 E Genesee St Suite 300 Syracuse, NY - 132101892 |
Business Phone Number: | 3154711044 |
Business Fax Number: | 3154744312 |
Mailing Address: | 1000 E Genesee St, Suite 300 SYRACUSE |
State: | NY |
Postal Code: | 132101892 |
Phone Number: | 3154711044 |
Fax Number: | 3154744312 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | F301625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |