Healthcare Provider Details

I. General information

NPI: 1114843125
Provider Name (Legal Business Name): NELSON E ROMERO NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 VAN TER
SPARKILL NY
10976-1406
US

IV. Provider business mailing address

8 VAN TER
SPARKILL NY
10976-1406
US

V. Phone/Fax

Practice location:
  • Phone: 845-589-2222
  • Fax: 845-589-2222
Mailing address:
  • Phone: 845-589-2222
  • Fax: 845-589-2222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NELSON E ROMERO
Title or Position: NURSE PRACTITIONER
Credential: PMHNP
Phone: 845-589-2222