Healthcare Provider Details

I. General information

NPI: 1235880451
Provider Name (Legal Business Name): CIERA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18333 CAMDEN AVE
SAINT ALBANS NY
11412-1505
US

IV. Provider business mailing address

18333 CAMDEN AVE
SAINT ALBANS NY
11412-1505
US

V. Phone/Fax

Practice location:
  • Phone: 718-810-9827
  • Fax:
Mailing address:
  • Phone: 718-810-9827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP141727
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: