Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 103664-1 | NY |
NPI | 1003460387 |
---|---|
Provider Name | Ms. Monica Isabel Romero |
First Address | Bronx, NY 10462-2520 |
Second Address | New York, NY 10001-6008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2019 |
Last Update Date | 25/07/2019 |