| Doctor Name: | MS. MARY E WILCOX-ROMERO |
| NPI Number: | 1154730802 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, NCC, CCMHC |
| License Number: | 005861-1 |
| Business Practice Address: | 557 Blooming Grove Tpke New Windsor, NY - 125537843 |
| Business Phone Number: | 8455614219 |
| Business Fax Number: | 8455613644 |
| Mailing Address: | 557 Blooming Grove Tpke, NEW WINDSOR |
| State: | NY |
| Postal Code: | 125537843 |
| Phone Number: | 8455614219 |
| Fax Number: | 8455613644 |
| NPI Enumeration Date: | 08/07/2014 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 005861-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |