Provider Demographics
NPI:1992861967
Name:ROMEO-GALLAGHER, MAUREEN
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:ROMEO-GALLAGHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HORSEBLOCK PLACE
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1220
Mailing Address - Country:US
Mailing Address - Phone:631-854-2569
Mailing Address - Fax:
Practice Address - Street 1:15 HORSEBLOCK PLACE
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738
Practice Address - Country:US
Practice Address - Phone:631-854-2569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator