Jordan Roy
Jordan Roy is a General Surgery in Staten Island, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2021
Practice location Address checks out
Staten Island, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1972184547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2021 |
| Last updated in NPPES | April 15, 2021 |
| Certification date | April 15, 2021 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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