Individual
JOSE ANTONIO ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(646) 340-1403
Mailing address
18 E 199TH ST APT 3C, BRONX, NY 10468-1754
(347) 291-5066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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