Individual
DR. BENJAMIN RAPHAEL ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, RM C-1061, NEW YORK, NY 10065-6007
(212) 639-7233
Mailing address
1275 YORK AVE, RM C-1061, NEW YORK, NY 10065-6007
(212) 639-7233
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
264061
NY
Other
Enumeration date
06/25/2007
Last updated
07/27/2015
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