Provider Demographics
NPI:1275785503
Name:ROMANO, FIORDALIZA
Entity Type:Individual
Prefix:
First Name:FIORDALIZA
Middle Name:
Last Name:ROMANO
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 1:81 INTERVALE RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-6218
Mailing Address - Country:US
Mailing Address - Phone:917-399-7281
Mailing Address - Fax:201-624-7079
Practice Address - Street 1:81 INTERVALE RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-6218
Practice Address - Country:US
Practice Address - Phone:917-399-7281
Practice Address - Fax:201-624-7079
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist