Individual
DEBRA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7711 79TH PL FL 2, GLENDALE, NY 11385-7537
(718) 415-8953
Mailing address
7711 79TH PL FL 2, GLENDALE, NY 11385-7537
(718) 415-8953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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