Provider Demographics
NPI:1750638417
Name:ROMEO, SARAH AGNES (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:AGNES
Last Name:ROMEO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:129 W 29TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5105
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:1790 BROADWAY
Practice Address - Street 2:SUITE 1802
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1412
Practice Address - Country:US
Practice Address - Phone:212-530-0625
Practice Address - Fax:212-867-4353
Is Sole Proprietor?:No
Enumeration Date:2012-08-12
Last Update Date:2014-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF337545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NYW6L111Medicare Oscar/Certification
NY331946Medicare Oscar/Certification