Provider Demographics
NPI:1891485983
Name:ARGUELLO HANON, ROMAN AMIN (MC)
Entity Type:Individual
Prefix:MR
First Name:ROMAN
Middle Name:AMIN
Last Name:ARGUELLO HANON
Suffix:
Gender:M
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E. 149TH STREET
Mailing Address - Street 2:LINCOLN MEDICAL CENTER STE. 8-20
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-579-5051
Mailing Address - Fax:
Practice Address - Street 1:234 E. 149TH STREET
Practice Address - Street 2:LINCOLN MEDICAL CENTER STE. 8-20
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program