MEDICARE: ROMAN OFFENGEYM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	7736027	NY

General Provider Information

NPI Number	:	1952793044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMAN OFFENGEYM

Provider Business Mailing Address
First Line	:	1711 KINGS HWY STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1232
Country	:	US
Telephone Number	:	929-333-9686
Fax Number	:	929-333-9684

Provider Business Practice Location Address
First Line	:	1711 KINGS HWY STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1232
Country	:	US
Telephone Number	:	929-333-9686
Fax Number	:	929-333-9684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	04/06/2026

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Directions to “ ROMAN OFFENGEYM ” Practice Location

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