Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 176237 | NY |
NPI | 1033165857 |
---|---|
Provider Name | Dr. Roman Sorin |
First Address | Brooklyn, NY 11230-7352 |
Second Address | New York, NY 10032-1542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 06/05/2009 |