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Wanda Roman
NPI 1952797151 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2454 Tiebout Ave
Apt. 3a
Bronx, NY 10458 - Phone
- (954) 682-5095
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York