Sanroman, Gustavo

Sanroman, Gustavo is an individual health care provider with primary practice located at 5225 Route 347 Suite 70, Port Jefferson Station NY 11776-2053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sanroman, Gustavo can be contacted via phone (800) 645-3203.

Contact Information

Primary practice address
5225 Route 347 Suite 70 Port Jefferson Station NY 11776-2053
Phone: (800) 645-3203
Fax: (631) 474-9169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 173068 New York

Profile Details

NPI number 1619917960
LBN Legal business name Sanroman, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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