Individual
MS. IRENE ROMAN
Active
Individual
MS. IRENE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
266805-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000495651001
BLUE SHIELD NENY
—
01
—
10002421
CDPHP
—
01
—
266805-1
TRICARE NORTH REGION
—
01
—
33570I
FIDELIS MEDICARE
—
01
—
4123072
MVP
—
01
—
9703194
GHI
—
01
—
R6B64
EMPIRE BLUE CROSS
—
01
—
X00000
AMERICAN PROGRESSIVE TODA
—
Enumeration date
07/29/2005
Last updated
01/06/2017
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