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1962091215
JOSE ANTONIO ROMAN
NEW YORK, NY
NPI
1962091215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
JOSE ANTONIO ROMAN CASAC-T
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 646-340-1403
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Mailing Address
JOSE ANTONIO ROMAN CASAC-T
18 E 199TH ST APT 3C
BRONX, NY 10468-1754
Phone number: 347-291-5066
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