Provider Demographics
NPI:1083985634
Name:ROMEO, JANINE ELIZABETH (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:ELIZABETH
Last Name:ROMEO
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - Street 2:I EDMUND PELLIGRINO DRIVE
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:1 EDMUND PELLIGRINO DRIVE
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2014-03-10
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Provider Licenses
StateLicense IDTaxonomies
NY004289-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant