Healthcare Provider Details

I. General information

NPI: 1043003825
Provider Name (Legal Business Name): GABRIELLA MARIA ROMANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WATERS PLACE
BRONX NY
10461
US

IV. Provider business mailing address

660 WHITE PLAINS ROAD - ENTA 4TH FLOOR
TARRYTOWN NY
10591-6802
US

V. Phone/Fax

Practice location:
  • Phone: 914-333-5801
  • Fax:
Mailing address:
  • Phone: 914-984-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: