Individual
PEDRO ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(646) 340-1403
Mailing address
425 E 153RD ST APT 5A, BRONX, NY 10455-1254
(646) 377-9521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28732
NY
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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