| Doctor Name: | MS. PAMELA ROUX |
| NPI Number: | 1275792210 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 445780 |
| Business Practice Address: | 4887 State Route 96a Romulus, NY - 145419767 |
| Business Phone Number: | 3155853062 |
| Business Fax Number: | |
| Mailing Address: | 4887 State Route 96a, ROMULUS |
| State: | NY |
| Postal Code: | 145419767 |
| Phone Number: | 3155853062 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 445780 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |