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Individual

ROMAN LORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
60 KERI WAY, WOODBURY, NY 11797-1248
(151) 630-1888

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
210968
NY
207L00000X
Anesthesiology Physician
Primary
210968
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02143415
NY
Enumeration date
06/15/2005
Last updated
04/11/2023
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