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NPI Code Detail

MEDICARE: ROSLYN RACHEL ROMANOWSKI MD

MEDICARE: ROSLYN RACHEL ROMANOWSKI MD
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician195126NY
2207R00000XInternal Medicine Physician195126NY
3207RH0003XHematology & Oncology Physician195126NY

Other Identifiers

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

General Provider Information

NPI Number : 1275527004
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSLYN RACHEL ROMANOWSKI MD
Provider Business Mailing Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-0000
Fax Number :
Provider Business Practice Location Address
First Line : 75 BEEKMAN ST
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-1438
Country : US
Telephone Number : 518-562-7100
Fax Number : 518-562-7531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/08/2025

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