Individual
MISS STEFANIE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
22421 KINGSBURY AVE, APT B, OAKLAND GARDENS, NY 11364-3626
(917) 270-5501
Mailing address
22421 KINGSBURY AVE, APT B, OAKLAND GARDENS, NY 11364-3626
(917) 270-5501
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
13127
NY
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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