Provider Demographics
NPI:1134421910
Name:ROMERO, LONDON A'MORE (FNP)
Entity type:Individual
Prefix:
First Name:LONDON
Middle Name:A'MORE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 NORTHERN BLVD SUITE 220
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-622-7988
Mailing Address - Fax:516-622-7957
Practice Address - Street 1:833 NORTHERN BLVD STE 220
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5339
Practice Address - Country:US
Practice Address - Phone:516-622-7988
Practice Address - Fax:516-622-7957
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily