Eriksen, Roy H
Eriksen, Roy H is an sole proprietor health care provider with primary practice located at 311 N Midland Ave , Nyack NY 10960-1627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eriksen, Roy H can be contacted via phone (845) 358-5006.Contact Information
Primary practice address
311 N Midland Ave
Nyack NY 10960-1627
Phone: (845) 358-5006
Fax: (845) 358-4340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 119911 | New York |
Profile Details
| NPI number | 1881716934 |
|---|---|
| LBN Legal business name | Eriksen, Roy H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 22nd, 2011 - about 13 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 | 1881716934 | NPPES |
| New York | MEDICAID | 00225163 |
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