Maryellen Romano
Gynecologist
1110 South Ave Suite306
Staten Island
, New York 10314-3403
Maryellen Romano
Gynecologist
1110 South Ave Suite306
Staten Island
, New York 10314-3403
(845) 362-8474
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Maryellen Romano
- 26 Firemans Memorial Dr Suite 115
- Pomona, NY
- Zip : 10970-3553
- Fax : (845) 362-8474
- Phone : (845) 362-8400
Second Address
- Maryellen Romano
- 1110 South Ave Suite306
- Staten Island, NY
- Zip : 10314-3403
- Fax : (718) 494-2767
- Phone : (718) 761-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 1575901 | NY |
National Provider Identifier
| NPI | 1164531182 |
|---|---|
| Provider Name | Maryellen Romano |
| First Address | Pomona, NY 10970-3553 |
| Second Address | Staten Island, NY 10314-3403 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 16/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B12163 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.