Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 114246 | NY |
NPI | 1023037769 |
---|---|
Provider Name | Dr. Jose Romeu |
First Address | New York, NY 10128-0145 |
Second Address | New York, NY 10128-0145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C077783 | (02) | NY |