MEDICARE: GENEVIEVE ROMEO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	259423	NY

General Provider Information

NPI Number	:	1124262936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE ROMEO

Provider Business Mailing Address
First Line	:	1798 BEDFORD AVE
Second Line	:	APT D-12
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 E 24TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2402
Country	:	US
Telephone Number	:	718-282-5971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	04/23/2009

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Directions to “ GENEVIEVE ROMEO ” Practice Location

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