Provider Demographics
NPI:1487646063
Name:ROMANO, ALICIA A (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:A
Last Name:ROMANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:22 SAW MILL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:914-366-3400
Mailing Address - Fax:914-366-3407
Practice Address - Street 1:755 N. BROADWAY,
Practice Address - Street 2:STE. 400
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2140
Practice Address - Country:US
Practice Address - Phone:914-366-3400
Practice Address - Fax:914-366-3407
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1736022080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01262606Medicaid
NY01262606Medicaid
NY86F801Medicare PIN