Healthcare Provider Details

I. General information

NPI: 1285414110
Provider Name (Legal Business Name): NATALY ROMERO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 MYRTLE AVE STE 2
ALBANY NY
12208-3797
US

IV. Provider business mailing address

391 MYRTLE AVE STE 2
ALBANY NY
12208-3797
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-4942
  • Fax:
Mailing address:
  • Phone: 518-262-4942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421666
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: