Roane, Henry S

Roane, Henry S is an individual health care provider with primary practice located at 600 East Genesee St Suite 130, Syracuse NY 13202. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Roane, Henry S can be contacted via phone (315) 464-3103.

Contact Information

Primary practice address
600 East Genesee St Suite 130 Syracuse NY 13202
Phone: (315) 464-3103
Fax: (315) 464-3944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 018405 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 667 Nebraska

Profile Details

NPI number 1467579730
LBN Legal business name Roane, Henry S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 25th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467579730 NPPES
Nebraska MEDICAID 10025287200

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