MEDICARE: ROMAR ANESTHESIA, PLLC

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	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114972015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMAR ANESTHESIA, PLLC

Provider Business Mailing Address
First Line	:	PO BOX A
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-0745
Country	:	US
Telephone Number	:	800-720-1664
Fax Number	:	207-753-2020

Provider Business Practice Location Address
First Line	:	32 NORTH WAY
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2214
Country	:	US
Telephone Number	:	914-924-0916
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT ROTEMAN
Credential	:	M.D.
Telephone Number	:	914-924-0916

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	11/07/2007

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