Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 170369 | NY |
NPI | 1083600621 |
---|---|
Provider Name | Charles F Romano |
First Address | East Syracuse, NY 13057-4502 |
Second Address | Watertown, NY 13601-4084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C33028 | (02) |