# OPTIMUM HEATH & PERFORMANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104279306
- **Authorized official:** DR. MICHAEL ROMAGNOLO (OWNER)
- **Authorized official phone:** (917) 709-2025

## Contact information

- **Practice address:** 7001 AMBOY RD, SUITE 202C, STATEN ISLAND, NY 10307-1444
- **Practice address phone:** (718) 554-4080
- **Mailing address:** 7001 AMBOY RD, SUITE 202C, STATEN ISLAND, NY 10307-1444
- **Mailing address phone:** (718) 554-4080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012796 | NY | Yes |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 07/22/2016