Individual provider · Type 1 NPI
Jerry T. Roy
Adult Psychiatric/Mental Health Registered Nurse · Syracuse, NY
NPI number
1891512331
Active
Practice location
620 Madison St
Syracuse, NY 13210-2319
Mailing address
101 Westholm Blvd
Syracuse, NY 13219-2914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 836464 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1891512331
Jerry T. Roy's National Provider Identifier is 1891512331, issued on Sep 25, 2024. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Syracuse, NY. The record was last updated on Sep 25, 2024.