Doctor Name: | DONNA JEAN ROMANO |
NPI Number: | 1144243239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 004960 |
Business Practice Address: | 1800 Walt Whitman Rd Suite 120 Melville, NY - 117473099 |
Business Phone Number: | 6312939540 |
Business Fax Number: | 6312939539 |
Mailing Address: | 1800 Walt Whitman Rd, Suite 120 MELVILLE |
State: | NY |
Postal Code: | 117473099 |
Phone Number: | 6312939540 |
Fax Number: | 6312939539 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 004960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |