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Individual

MARC ROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 WOODS ROAD, VALHALLA, NY 10595
(914) 493-7000
Mailing address
2 VALHALLA RD, CARMEL, NY 10512-6630
(184) 580-3988

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
030841
NY

Other

Enumeration date
06/08/2023
Last updated
10/12/2023
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