Individual
MARISSA ANNE ROMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Mailing address
10 SYCAMORE AVE, LAKE GROVE, NY 11755-2731
(631) 617-2034
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
06/25/2022
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