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Organization
KIMBERLY A. ROMAINE, DC, PC
Active
Organization
KIMBERLY A. ROMAINE, DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANNE ROMAINE D.C. (CHIROPRACTOR/OWNER)
(631) 281-0966
Entity
Organization
Contact information
Practice address
283 WILLIAM FLOYD PKWY, SHIRLEY, NY 11967-3467
(631) 281-0966
(631) 281-0970
Mailing address
283 WILLIAM FLOYD PKWY, SHIRLEY, NY 11967-3467
(631) 281-0966
(631) 281-0970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004616-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X42801
MEDICARE PTAN
NY
Enumeration date
03/02/2010
Last updated
03/02/2010
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