Evaristo Roman is a Counselor in Bronx, New York. Evaristo Roman practices all healthcare services and medical treatments related to Counselor. The NPI Number for Evaristo Roman is 1194876169. The last update date is 2007-07-08.
Evaristo Roman's current location address is 600 Concord Ave Apt 6a, Bronx, New York. You can contact this provider via phone number 9173713428. The mailing address for Evaristo Roman is 600 Concord Ave Apt 6a, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evaristo Roman |
|---|---|
| Address | 600 Concord Ave Apt 6a, Bronx, New York |
| Phone Number | 9173713428 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | AA IN HUMA |
NPI Number Detail
| NPI Number | 1194876169 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 Concord Ave Apt 6a |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104553145 |
| Phone Number | 9173713428 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10898 | NY | OASAS |
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What is the unique identifier code issued to Evaristo Roman by the Centers for Medicare & Medicaid Services (CMS)?
The Evaristo Roman has been assigned the NPI (National Provider Identifier) 1194876169. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Evaristo Roman's facilities are situated?
The facilities of Evaristo Roman are physically located at the following address: 600 Concord Ave Apt 6A, Bronx, NY, 104553145.
What is Evaristo Roman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evaristo Roman is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Evaristo Roman receive its 1194876169 assignment from the Centers for Medicare & Medicaid Services?
The Evaristo Roman was assigned its 1194876169 by the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date were the details related to Evaristo Roman most recently updated or revised?
The information pertaining to Evaristo Roman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.