Individual
IGOR ROMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2148 OCEAN AVE FL 5, BROOKLYN, NY 11229-1484
(212) 398-1288
Mailing address
131 HASTINGS ST, BROOKLYN, NY 11235-3017
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306828
NY
363LP2300X
Primary Care Nurse Practitioner
F306828
NY
Other
Enumeration date
05/10/2007
Last updated
03/19/2024
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