Andrade Romo Retina Ophthalmology PLLC
Ophthalmology, Retina Specialist in New York, NY. Organization (NPI-2).
NPI number1093690414
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1093690414
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrade Romo Retina Ophthalmology PLLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2025
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0107X | Ophthalmology, Retina Specialist | – | – | Yes |
Other names
- Andrade Retina (Doing Business As)
Practice location
310 E 14th St # 403New York, NY 10003-4284
Phone 212-979-4643 · Fax 212-979-4676
Mailing address
310 E 14th St # 403New York, NY 10003-4284
Phone 212-979-4643 · Fax 212-979-4676
Authorized official
Jorge Santiago Andrade Romo
Owner
2129794643
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