Provider Demographics
NPI:1154705531
Name:ROMAN-KASMIERCZAK, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ROMAN-KASMIERCZAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8808
Practice Address - Street 1:1556 STRAIGHT PATH
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:WYANDANCH
Practice Address - State:NY
Practice Address - Zip Code:11798-3213
Practice Address - Country:US
Practice Address - Phone:516-214-8020
Practice Address - Fax:631-643-1590
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074543104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker