Individual
MS. LISA VERA ROMANACCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2171 JERICHO TPKE, COMMACK, NY 11725-2937
(631) 854-1016
Mailing address
2171 JERICHO TPKE, COMMACK, NY 11725-2937
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420642
NY
Other
Enumeration date
08/09/2006
Last updated
04/19/2023
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