Healthcare Provider Details

I. General information

NPI: 1881043370
Provider Name (Legal Business Name): MARGARET M. ROMBONE, PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E 25TH ST STE 7H
NEW YORK NY
10010-8209
US

IV. Provider business mailing address

51 E 25TH ST STE 7H
NEW YORK NY
10010-8209
US

V. Phone/Fax

Practice location:
  • Phone: 212-729-9638
  • Fax:
Mailing address:
  • Phone: 212-729-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number016247
License Number StateNY

VIII. Authorized Official

Name: MARGARET ROMBONE
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 212-729-9638