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Individual

JOHN F ROMANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 E MAIN ST, SUITE 330, SMITHTOWN, NY 11787-2871
(631) 724-4488
(631) 366-0958
Mailing address
222 E MAIN ST, SUITE 330, SMITHTOWN, NY 11787-2871
(631) 724-4488

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
174831
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01361811
NY
01
0400201
GHI - GROUP HEALTH INS.
01
0C5556
HEALTHNET
01
119174
AETNA HEALTH PLANS
01
180041776
PALMETTO-GBA
01
29761P
HIP
01
800780
UNITEDHEALTHCARE
01
CS271
OXFORD HEALTH PLANS
Enumeration date
08/03/2005
Last updated
11/16/2010
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