Patrice Roman, | |
1 Elsie St, Rome, NY 13440-2556 | |
(315) 339-2220 | |
Not Available |
Full Name | Patrice Roman |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1 Elsie St, Rome, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053740266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 006465-1 (New York) | Primary |
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Patrice Roman, 159 W 1st St, Oswego, NY 13126-2045 Ph: () - | Patrice Roman, 1 Elsie St, Rome, NY 13440-2556 Ph: (315) 339-2220 |
Gauri Wallace, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Elsie St, Rome, NY 13440 Phone: 315-339-2220 | |
Michelle Lynn Casab, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-337-7952 Fax: 315-338-7417 | |
Catherine Bird, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 1st St, Rome, NY 13440 Phone: 315-339-3840 | |
Amanda Talarico, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Brookley Rd, Rome, NY 13441 Phone: 315-533-1150 | |
Lauren Mancini, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7118 Brennon Ave, Rome, NY 13440 Phone: 315-338-5260 | |
Mrs. Tammy Ann Owen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Bell Rd S, Rome, NY 13440 Phone: 315-338-6500 |