Individual
DR. MARIA ROMANENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1704 AVENUE M, BROOKLYN, NY 11230-5349
(718) 339-6753
(718) 339-8567
Mailing address
1704 AVENUE M, BROOKLYN, NY 11230-5349
(718) 339-6753
(718) 339-8467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02644535
—
NY
01
—
7020742
LICENSE NUMBER
NY
Enumeration date
03/20/2006
Last updated
06/02/2008
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