License holder summary

SAN ROMAN GUSTAVO ADOLFO is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SAN ROMAN GUSTAVO ADOLFO is PORT JEFFERSON STAT NY. This doctor license is current. The license was granted 11/27/1987 and expired on 07/31/2016.

New York

Office of the Professions

SAN ROMAN GUSTAVO ADOLFO
Medicine (Physician, Including M Ds & D Os)
License number
173068
Date granted
11/27/1987
Date expires
07/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
PORT JEFFERSON STAT NY
nymedicine.org
ID 30266732
LAST UPDATED 2026-05-14 13:35:44 UTC

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