Provider Demographics
NPI:1568429157
Name:ROYE, BENJAMIN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:DAVID
Last Name:ROYE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:622 W 168TH ST PH 11-102
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-5475
Mailing Address - Fax:212-305-0393
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1559
Practice Address - Country:US
Practice Address - Phone:212-305-5475
Practice Address - Fax:212-305-8217
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2023-03-10
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Provider Licenses
StateLicense IDTaxonomies
NY213497207XP3100X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI20122Medicare UPIN