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NPI Code Detail

MEDICARE: CAROL ROYE R.N.

MEDICARE: CAROL ROYE R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerF380170NY

General Provider Information

NPI Number : 1194051227
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ROYE R.N.
Provider Business Mailing Address
First Line : 425 E 25TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10010-2547
Country : US
Telephone Number : 212-481-4332
Fax Number :
Provider Business Practice Location Address
First Line : 3332 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10031-8732
Country : US
Telephone Number : 212-694-2000
Fax Number : 212-281-4296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2009
Last Update Date : 12/14/2012

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