Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 213497 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 213497 | NY |
NPI | 1568429157 |
---|---|
Provider Name | Dr. Benjamin David Roye |
First Address | New York, NY 10087-6691 |
Second Address | New York, NY 10032-1559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 14/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I20122 | (02) | NY |