Individual
MARY J ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 EAST 70TH STREET, STARR 4, NEW YORK, NY 10021
(212) 746-4685
(212) 746-8561
Mailing address
520 EAST 70TH STREET, STARR 4, NEW YORK, NY 10021
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
150902
NY
207RC0000X
Cardiovascular Disease Physician
Primary
150902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914521
—
NY
Enumeration date
10/11/2006
Last updated
07/26/2012
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