Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 390200000X | NY |
NPI | 1871756106 |
---|---|
Provider Name | Dr. Rebecca Mary Romoshan |
First Address | Forest Hills, NY 11375-5145 |
Second Address | Forest Hills, NY 11375-5145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 07/07/2008 |