Provider Demographics
NPI:1497097273
Name:ROMANO, DIANE W (RN)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:W
Last Name:ROMANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21801 116TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1155
Mailing Address - Country:US
Mailing Address - Phone:718-276-6565
Mailing Address - Fax:718-723-7819
Practice Address - Street 1:21801 116TH AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1155
Practice Address - Country:US
Practice Address - Phone:718-276-6565
Practice Address - Fax:718-723-7819
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283572163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool