ROBERT JOHN ROUGHLEY

NORTHPORT, NY
NPI1457563983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2471R0002X Radiologic Technologist, Radiation Therapy
(Licence: NY  731459)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- ROBERT JOHN ROUGHLEY
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2290
Phone number: 631-261-4400
Mailing Address
-- ROBERT JOHN ROUGHLEY
166 AVE C
HOLBROOK, NY 11741-1417
Phone number: 631-467-4388