Individual
JENNIE ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
27005 76TH AVE, NORTH SHORE LIJ HOSPITAL, DEPT. OF EMERGENCY MEDICINE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
(718) 470-9113
Mailing address
27005 76TH AVE, NORTH SHORE LIJ HOSPITAL, DEPT. OF EMERGENCY MEDICINE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007676
NY
363AS0400X
Surgical Physician Assistant
007676
NY
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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