Provider Demographics
NPI:1982814323
Name:ROMANO, MARIANNE C (RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:C
Last Name:ROMANO
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 DI BELLA DR
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5161
Mailing Address - Country:US
Mailing Address - Phone:518-356-7071
Mailing Address - Fax:518-356-7071
Practice Address - Street 1:SEFCU CORPORATE FITNESS CENTER
Practice Address - Street 2:700 PATROON CREEK BLVD
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206
Practice Address - Country:US
Practice Address - Phone:518-265-5057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000831-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered