Leslie E Roman

NPI 1760814628 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1760814628
Gender Female
Enumeration Date 08/02/2013
Last Updated 08/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
12 LYLE CT
STATEN ISLAND NY, 10306-1142, US
Phone (718) 987-3849
Fax
Business Location
262 VAN NAME AVE
STATEN ISLAND NY, 10303-2537, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 314830
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According to our database, Leslie E Roman NPI is 1760814628, taxonomy code is 164W00000X and license number is 314830, license state is located at New York. Leslie E Roman physically located at 12 Lyle Ct, Staten Island NY, 10306-1142. NPI Number Leslie E Roman has the Individual type.

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1760814628 NPI number is provided on an as is basis without warranty of any kind. 1760814628 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie E Roman are for informational purposes only.