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General NPI Number Information
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NPI Number | 1851809131
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Entity Type | Individual
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Provider Name | MARIE CARMELLE ROMMAGE NP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2018
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 2555 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-4730
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Country | US
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Telephone | 718-951-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 26910 GRAND CENTRAL PKWY APT A18
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City | FLORAL PARK
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State | NY
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Zip | 11005-1034
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Country | US
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Telephone | 646-912-8515
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Fax | 213-444-7912
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 339589
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F403611-01
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License Number State | NY
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