Individual
MRS. MARTHA GAIL ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 E GENESEE ST, SYRACUSE, NY 13210-1912
(315) 475-5540
Mailing address
100 BRIARCLIFF RD, SYRACUSE, NY 13214-1513
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300898-1
NY
Other
Enumeration date
04/24/2007
Last updated
03/21/2009
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