Healthcare Provider Details

I. General information

NPI: 1891520623
Provider Name (Legal Business Name): BRIEA MARIE ROMANO MSWLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 SOUTH AVE
STATEN ISLAND NY
10314-3604
US

IV. Provider business mailing address

3911 RICHMOND AVE
STATEN ISLAND NY
10312-5110
US

V. Phone/Fax

Practice location:
  • Phone: 718-761-9800
  • Fax:
Mailing address:
  • Phone: 718-948-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number128311-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: