Provider Demographics
NPI:1972755023
Name:ROMANSKI, KRISTA (MSED)
Entity Type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:
Last Name:ROMANSKI
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MRS
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:ZIOBROWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:32 OUTLOOK DR S
Mailing Address - Street 2:
Mailing Address - City:MECHANICVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12118-3643
Mailing Address - Country:US
Mailing Address - Phone:518-701-0762
Mailing Address - Fax:518-541-2012
Practice Address - Street 1:32 OUTLOOK DR S
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-3643
Practice Address - Country:US
Practice Address - Phone:518-701-0762
Practice Address - Fax:518-541-2012
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009126235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY842034944OtherDRIVER'S LICENSE NUMBER