Individual
ROMINA A CEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 WILLOWBROOK AVE APT 5A, BAY SHORE, NY 11706-8532
(934) 500-9162
Mailing address
5 WILLOWBROOK AVE APT 5A, BAY SHORE, NY 11706-8532
(934) 500-9162
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
85237301
NY
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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