Individual
ANN MARIE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5008 BRITTONFIELD PKWY, SUITE 700, EAST SYRACUSE, NY 13057
(315) 472-7504
(315) 479-8639
Mailing address
PO BOX 2010, EAST SYRACUSE, NY 13057-4510
(315) 472-7504
(315) 479-8639
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302135
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02508767
—
NY
Enumeration date
04/06/2007
Last updated
08/03/2018
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