Provider Demographics
NPI:1932350766
Name:ROMNEY, MARIE-LAURE STEPHANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIE-LAURE
Middle Name:STEPHANIE
Last Name:ROMNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIE-LAURE
Other - Middle Name:STEPHANIE
Other - Last Name:GEFFRARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:176 STERLING PL
Mailing Address - Street 2:4L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3348
Mailing Address - Country:US
Mailing Address - Phone:646-261-1395
Mailing Address - Fax:
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:718-270-4580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251322207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine