Individual
MR. DAVID ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A
Contact information
Practice address
585 SCHENECTADY AVENUE, BROOKLYN, NY 11203
(718) 604-5421
(718) 604-5527
Mailing address
P.O. BOX 26246, NEW YORK, NY 10087-6246
(718) 604-5574
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002815
NYS LICENSE
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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