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MR. ROMEO SUBA CAYANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
36-11 21ST ST, LONG ISLAND CITY, NY 11106-4505
(718) 482-7772
(718) 482-9648
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(125) 452-4002
(212) 463-8411

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F302331
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
10/02/2006
Last updated
12/20/2024
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