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NPI Code Detail

MEDICARE: DR. JASMIN S. ROMAN MD

MEDICARE: DR. JASMIN S. ROMAN 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
1207Q00000XFamily Medicine Physician246707NY

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 : 1659538684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASMIN S. ROMAN MD
Provider Business Mailing Address
First Line : 1894 WALTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-6018
Country : US
Telephone Number : 718-583-3060
Fax Number : 718-583-3360
Provider Business Practice Location Address
First Line : 1894 WALTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-6018
Country : US
Telephone Number : 718-583-3060
Fax Number : 718-583-3360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/19/2014

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Directions to “ DR. JASMIN S. ROMAN MD” Practice Location

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