Provider Demographics
NPI:1962643767
Name:ROMANO, VINCENT (DMD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:ROMANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MADISON AVE
Mailing Address - Street 2:SUITE 2106
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 MADISON AVE
Practice Address - Street 2:SUITE 2106
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5602
Practice Address - Country:US
Practice Address - Phone:212-753-9299
Practice Address - Fax:212-753-0704
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048263122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist