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NPI Code Detail

MEDICARE: MEGAN BETH ROMANO MFT

MEDICARE:   MEGAN BETH ROMANO  MFT
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
1106H00000XMarriage & Family TherapistP62787NY

General Provider Information

NPI Number : 1548423171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN BETH ROMANO MFT
Provider Business Mailing Address
First Line : 7 RAFFAELLA DR
Second Line :
City : EASTPORT
State : NY
Zip : 11941-1448
Country : US
Telephone Number : 631-839-5887
Fax Number :
Provider Business Practice Location Address
First Line : 151 BURRS LN
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-6052
Country : US
Telephone Number : 631-643-8800
Fax Number : 631-491-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 07/03/2008

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Directions to “ MEGAN BETH ROMANO MFT” Practice Location

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