Individual provider · Type 1 NPI

Marc Roman

Surgical Physician Assistant · Valhalla, NY

NPI number 1699469965 Active

Practice location

100 Woods Road
Valhalla, NY 10595

Mailing address

2 Valhalla Rd
Carmel, NY 10512-6630

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X030841 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1699469965

Marc Roman's National Provider Identifier is 1699469965, issued on Jun 8, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Valhalla, NY. The record was last updated on Oct 12, 2023.