Mary R Rom, MS
Counselor, Mental Health in New York, NY. Individual provider (NPI-1).
NPI number1164036307
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1164036307
- Entity type
- Individual (NPI-1)
- Name
- Mary R Rom
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2020
- Certification date
- Sep 4, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1133 BroadwayNew York, NY 10010-7903
Phone 516-737-5255
Mailing address
82 Center LnLevittown, NY 11756-1039
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