Individual
JUAN MANUEL ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTHERN BLVD, SUITE 216, GREAT NECK, NY 11021-5200
(516) 466-0390
(516) 466-4956
Mailing address
600 NORTHERN BLVD, SUITE 216, GREAT NECK, NY 11021-5200
(516) 466-0390
(516) 466-4956
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
231345
NY
207W00000X
Ophthalmology Physician
25MA07734500
NJ
207W00000X
Ophthalmology Physician
ME95436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551839
—
NY
01
—
470A91
MEDICARE ID NUMBER
NY
Enumeration date
06/05/2006
Last updated
11/25/2020
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