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General NPI Number Information
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NPI Number | 1609391135
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Entity Type | Organization
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Legal Business Name | PHILLIP E ROMERO MD PLLC
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Dates
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Enumeration Date | 08/05/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 115 E 57TH ST STE 640
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City | NEW YORK
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State | NY
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Zip | 10022-2392
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Country | US
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Telephone | 212-477-9886
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Fax | 646-612-7947
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Provider Business Mailing Address
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Address Line | 115 E 57TH ST STE 640
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City | NEW YORK
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State | NY
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Zip | 10022-2392
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Country | US
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Telephone | 212-477-9886
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Fax | 646-612-7947
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILLIP EARL ROMERO
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Credential | MD
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Telephone | 212-477-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 130742
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 130742
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 130742
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 130742
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License Number State | NY
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