MEDICARE: MS. ROMY G FABAL FNP

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	363LF0000X	Family Nurse Practitioner	F350942-01	NY

General Provider Information

NPI Number	:	1295449577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROMY G FABAL FNP

Provider Business Mailing Address
First Line	:	390 HAWTHORNE AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10705-2809
Country	:	US
Telephone Number	:	917-532-1342
Fax Number	:

Provider Business Practice Location Address
First Line	:	1262 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3541
Country	:	US
Telephone Number	:	718-617-2500
Fax Number	:

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

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	06/09/2025

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