ROMAN GONTA

STONY BROOK, NY
NPI1821585431
Former NameROMAN KHAMITOV
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
ROMAN GONTA
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794-0001
Phone number: 631-444-2224
Mailing Address
ROMAN GONTA
2730 W 33RD ST APT 12I
BROOKLYN, NY 11224-1652
Phone number: 646-270-6011