Organization
ROLANDO R.ROMAN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO RONQUILLO ROMAN MD (PRESIDENT)
(718) 657-8306
Entity
Organization
Contact information
Practice address
8854 180TH ST, JAMAICA, NY 11432-4738
(718) 657-8306
Mailing address
8854 180TH ST, JAMAICA, NY 11432-4738
(718) 657-8306
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
185214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01427090
—
NY
Enumeration date
02/09/2011
Last updated
02/09/2011
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