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NPI Code Detail

MEDICARE: DIANE M. ROMANO NP, ADULT HEALTH PC

MEDICARE: DIANE M. ROMANO NP, ADULT HEALTH PC
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
1364SA2200XAdult Health Clinical Nurse SpecialistF303591-1NY

General Provider Information

NPI Number : 1700068038
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIANE M. ROMANO NP, ADULT HEALTH PC
Provider Business Mailing Address
First Line : 23 BLACK GUM TREE LN
Second Line :
City : KINGS PARK
State : NY
Zip : 11754-1746
Country : US
Telephone Number : 631-424-3600
Fax Number :
Provider Business Practice Location Address
First Line : 110 E MAIN ST
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-2845
Country : US
Telephone Number : 631-424-3600
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. DENISE M CALANDRINO
Credential :
Telephone Number : 631-424-3600
Provider Enumeration Date : 11/28/2007
Last Update Date : 11/28/2007

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