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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114067360 NPPES
New York MEDICAID 02414533

Popular Providers