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Michael Brandon Roemer

NPI Registration Record

Provider / OrganizationNPIDate Certified
MICHAEL BRANDON ROEMER19024300692020-06-28
Entity TypeIndividual
Provider Name Michael Brandon Roemer PA-C
Practice Office Address300 BRYN MAWR RD
NEW HYDE PARK, NY US
Practice Office Telephone5167764930
Mailing Address300 BRYN MAWR RD
NEW HYDE PARK, NY 110403509 US
Business Telephone5167764930
HPT Codes
CodeLicense NoState
363A00000X PRIMARY
OPI Codes

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