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General NPI Number Information
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NPI Number | 1689851230
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Entity Type | Organization
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Legal Business Name | ROBERT M. ROMAINE, DPM
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 99 ST AGNES HWY
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City | COHOES
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State | NY
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Zip | 12047-3927
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Country | US
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Telephone | 518-233-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 99 ST AGNES HWY
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City | COHOES
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State | NY
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Zip | 12047-3927
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Country | US
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Telephone | 518-233-0669
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT M. ROMAINE
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Credential | D.P.M.
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Telephone | 518-233-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N002639-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | N002639-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | N-002639-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N-002639-1
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License Number State | NY
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