Most Relevant Information
Provider Data
| NPI Number: | 1003499948 |
| Provider Name: | NICOLE AMANDA ROMAN MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2021 |
| Last Updated: | 09/12/2023 |
Provider Practice Location
825 7TH AVE
NEW YORK
NY
100196014
Practice Location Phone/Fax
| Phone: | 6467990975 |
| Fax: |
Provider Mailing Location
253 ACADEMY ST APT 203
JERSEY CITY
NJ
073064323
Provider Mailing Phone/Fax
| Phone: | 2012537725 |
| Fax: |