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Dr. Clemente T Roque, MD
Neuroradiology Physician in Stony Brook, New York
NPI 1902840416

Clemente T Roque is a Neuroradiology Physician based in Stony Brook, NY and is specialized in Neuroradiology. Clemente T Roque practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Clemente T Roque is 1902840416 and holds a License No. 158433 (New York).

The current practice location address for Clemente T Roque is University Hospital, Stony Brook, NY and can be reached out via phone at 631-444-6919.

Location: University Hospital, Stony Brook, NY, 11790-0989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902840416
Provider Name
Clemente T Roque
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
University Hospital, Stony Brook, NY, 11790-0989
Phone Number
631-444-6919
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00840304 05 NY
23D55 01 NY EMPIRE BC.BS
4314845 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
University Hospital
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-6919
Fax Number
person
Provider Business Mailing Address Details
Address
University Hospital
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-6919
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
158433 (New York)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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