DR. Roman Koldayev, M.D.

NPI #1790766970 in Lawrence, New York

Provider Information

NPI Number: 1790766970
Entity Type: Individual
Name: DR. Roman Koldayev, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 7, 2005
Last Updated: Mar 19, 2012

Practice Location

Address: 215 ROCKAWAY TPKE
City: Lawrence
State: New York
ZIP Code: 11559-1216
Phone: (516) 374-5024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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