Individual
ROMAN MONDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3100 47TH AVE STE 3100, LONG ISLAND CITY, NY 11101-3050
(516) 596-5907
Mailing address
3100 47TH AVE STE 3100, LONG ISLAND CITY, NY 11101-3050
(516) 613-5750
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403399
NY
Other
Enumeration date
03/06/2020
Last updated
06/15/2021
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