Provider Demographics
NPI:1689956054
Name:ROMANO, MICHELLE ROSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ROSE
Last Name:ROMANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MEREDITH LN
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1243
Mailing Address - Country:US
Mailing Address - Phone:516-696-2550
Mailing Address - Fax:
Practice Address - Street 1:1770 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-5203
Practice Address - Country:US
Practice Address - Phone:631-667-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210668183500000X
NY528856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist