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Contact Information

ROBERT J ROUGHLEY
79 MIDDLEVILLE RD
NORTHPORT, NY11768-2290
 Phone: 631-261-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Therapy Radiologic Technologist

2471R0002X
Indicates primary specialty

NPI Profile & details for ROBERT J ROUGHLEY · (Male)

NPI # 1457563983
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 731459
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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