NPI: 1235361643 · PORT JEFFERSON STATION, NY 11776 · Obstetrics & Gynecology Physician · NPI assigned 08/18/2009
| Authorized Official | SAN ROMAN, GUSTAVO (OWNER) |
| NPI Enumeration Date | 08/18/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19 | $23.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36415 | Collection of venous blood by venipuncture | 19 | 14 | $23.18 |