Healthcare Provider Details

I. General information

NPI: 1548843378
Provider Name (Legal Business Name): YULIA ROMALIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-1834
US

IV. Provider business mailing address

750 E ADAMS ST
SYRACUSE NY
13210-2306
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5276
  • Fax: 315-464-5944
Mailing address:
  • Phone: 315-464-2020
  • Fax: 315-464-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number345653
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: