Healthcare Provider Details

I. General information

NPI: 1124641402
Provider Name (Legal Business Name): GEORGE A ROMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 FORT WASHINGTON AVE APT 1B
NEW YORK NY
10032-4644
US

IV. Provider business mailing address

10 RIDGEVIEW AVE
YONKERS NY
10710-5420
US

V. Phone/Fax

Practice location:
  • Phone: 914-771-0717
  • Fax: 361-585-4852
Mailing address:
  • Phone: 914-771-0717
  • Fax: 361-585-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10072113
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number327724
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: