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Jose Roberto Roman, MD
Student in an Organized Health Care Education/Training Program in New York, New York
NPI 1932834835

Jose Roberto Roman is a Student in an Organized Health Care Education/Training Program based in New York, NY. Jose Roberto Roman practices in New York, NY and has the professional credentials of MD. The NPI Number for Jose Roberto Roman is 1932834835 and holds a License No. (New York).

The current practice location address for Jose Roberto Roman is 525 E 68Th St, New York, NY and can be reached out via phone at 305-930-4464 and via fax at 305-930-4464.

Location: 525 E 68Th St, New York, NY, 10065-4870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932834835
Provider Name
Jose Roberto Roman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
525 E 68Th St, New York, NY, 10065-4870
Phone Number
305-930-4464
Fax Number
305-930-4464
Provider Enumeration Date
07/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
525 E 68Th St
City
New York
State
New York
Zip
10065-4870
Phone Number
305-930-4464
Fax Number
305-930-4464
person
Provider Business Mailing Address Details
Address
525 E 68Th St
City
New York
State
New York
Zip
10065-4870
Phone Number
305-930-4464
Fax Number
305-930-4464
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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