Provider Demographics
NPI:1982681821
Name:ROMAS, STAVRA N (MD)
Entity Type:Individual
Prefix:DR
First Name:STAVRA
Middle Name:N
Last Name:ROMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:521 W 57TH ST
Mailing Address - Street 2:4TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-265-8070
Mailing Address - Fax:212-265-8194
Practice Address - Street 1:521 W 57TH ST
Practice Address - Street 2:4TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2929
Practice Address - Country:US
Practice Address - Phone:212-265-8070
Practice Address - Fax:212-265-8194
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2008212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02101848Medicaid
NYH25048Medicare UPIN
NY02101848Medicaid
WFW221Medicare PIN