Individual
EVARISTO ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA IN HUMAN SERVICES
Contact information
Practice address
754 E 151ST ST, BRONX, NY 10455-3267
(718) 401-5432
(718) 993-4395
Mailing address
600 CONCORD AVE APT 6A, BRONX, NY 10455-3145
(917) 371-3428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10898
OASAS
NY
Enumeration date
01/16/2007
Last updated
07/08/2007
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