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Contact Information

HENRY S ROANE
600 EAST GENESEE ST
SUITE 130
SYRACUSE, NY13202
 Phone: 315-464-3103
 Fax: 315-464-3944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HENRY S ROANE · (Male)

NPI Number 1467579730
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2007
Last updated 07/25/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 667
  • NY License # 018405
  • NE Medicaid 10025287200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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