Healthcare Provider Details

I. General information

NPI: 1265350151
Provider Name (Legal Business Name): ANDREW PATRICK ROMANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S BEDFORD RD STE 340
MOUNT KISCO NY
10549-3444
US

IV. Provider business mailing address

385 CANTERBURY DR
RAMSEY NJ
07446-2569
US

V. Phone/Fax

Practice location:
  • Phone: 646-359-2887
  • Fax:
Mailing address:
  • Phone: 201-704-0662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: