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Robert John Roughley
Radiation Therapy Radiologic Technologist in Northport, New York
NPI 1457563983

Robert John Roughley is a Radiation Therapy Radiologic Technologist based in Holbrook, NY and is specialized in Radiation Therapy. Robert John Roughley practices in Northport, NY. The NPI Number for Robert John Roughley is 1457563983 and holds a License No. 731459 (New York).

The current practice location address for Robert John Roughley is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-261-4400.

Location: 79 Middleville Rd, Northport, NY, 11741-1417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457563983
Provider Name
Robert John Roughley
Credential
Provider Entity Type
Individual
Gender
Male
Address
79 Middleville Rd, Northport, NY, 11741-1417
Phone Number
631-261-4400
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2290
Phone Number
631-261-4400
Fax Number
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2290
Phone Number
631-261-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiation Therapy
Taxonomy
2471R0002X
License No.
731459 (New York)
Definition
Definition to come...
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