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General NPI Number Information
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NPI Number | 1093690414
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Entity Type | Organization
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Legal Business Name | ANDRADE ROMO RETINA OPHTHALMOLOGY PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 310 E 14TH ST # 403
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City | NEW YORK
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State | NY
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Zip | 10003-4284
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Country | US
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Telephone | 212-979-4643
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Fax | 212-979-4676
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Provider Business Mailing Address
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Address Line | 310 E 14TH ST # 403
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City | NEW YORK
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State | NY
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Zip | 10003-4284
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Country | US
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Telephone | 212-979-4643
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Fax | 212-979-4676
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORGE SANTIAGO ANDRADE ROMO
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Credential | MD
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Telephone | 212-979-4643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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