Provider Demographics
NPI:1851938146
Name:ROMEU, TIFFANY LYNN (LPN)
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:LYNN
Last Name:ROMEU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 EISENHOWER AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-1002
Mailing Address - Country:US
Mailing Address - Phone:631-512-2144
Mailing Address - Fax:
Practice Address - Street 1:90 EISENHOWER AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1002
Practice Address - Country:US
Practice Address - Phone:631-512-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337130-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse