Provider Demographics
NPI:1548404221
Name:JOHN F. ROMANO M.D. PLLC
Entity Type:Organization
Organization Name:JOHN F. ROMANO M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SONTERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-576-5700
Mailing Address - Street 1:36 7TH AVE
Mailing Address - Street 2:SUITE 423
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6609
Mailing Address - Country:US
Mailing Address - Phone:212-242-5815
Mailing Address - Fax:212-645-3541
Practice Address - Street 1:36 7TH AVE
Practice Address - Street 2:SUITE 423
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6609
Practice Address - Country:US
Practice Address - Phone:212-242-5815
Practice Address - Fax:212-645-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120747207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100001430OtherMEDICARE PTAN NUMBER