MEDICARE: LAURI JANE ROMANZI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	166281	NY

General Provider Information

NPI Number	:	1437250149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURI JANE ROMANZI M.D.

Provider Business Mailing Address
First Line	:	150 E 32ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-6058
Country	:	US
Telephone Number	:	646-744-1519
Fax Number	:	646-825-9397

Provider Business Practice Location Address
First Line	:	150 E 32ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-6058
Country	:	US
Telephone Number	:	646-744-1519
Fax Number	:	646-825-9397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/28/2013

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