Provider Demographics
NPI:1073236741
Name:ROMERO, DARIANA ANABEL
Entity Type:Individual
Prefix:
First Name:DARIANA
Middle Name:ANABEL
Last Name:ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2571 47TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1108
Mailing Address - Country:US
Mailing Address - Phone:929-277-1253
Mailing Address - Fax:
Practice Address - Street 1:2571 47TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-1108
Practice Address - Country:US
Practice Address - Phone:929-277-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist