ROXANE LACY, M.D.

Pediatrics

Active Individual
NPI: 1457402802

Practice Address

45 W SUFFOLK AVE FL 2
Central Islip, NY 11722

Phone: (631) 582-4858

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 225654-1 (NY)

Frequently Asked Questions

NPI 1457402802 is the National Provider Identifier for ROXANE LACY, M.D., a Pediatrics provider located in Central Islip, NY. This NPI was enumerated on January 14, 2007.
ROXANE LACY, M.D. practices at 45 W SUFFOLK AVE FL 2, Central Islip, NY 11722.

Quick Facts

NPI
1457402802
Type
Individual
Enumerated
Jan 14, 2007
Last Updated
Mar 1, 2013

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