| Doctor Name: | ROMAN ALLAN SAMSON SOTELO |
| NPI Number: | 1295059061 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.P.T. |
| License Number: | 028622 |
| Business Practice Address: | 5238 83rd St Apartment 1 Elmhurst, NY - 113734722 |
| Business Phone Number: | 9099922152 |
| Business Fax Number: | 1347621452 |
| Mailing Address: | 3023 23rd St, Apartment 3 ASTORIA |
| State: | NY |
| Postal Code: | 111023327 |
| Phone Number: | 9099922152 |
| Fax Number: | 1347621452 |
| NPI Enumeration Date: | 03/22/2010 |
| NPI Last Update Date: | 08/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 028622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |