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Individual

TRACEY LYNN ROMANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER

Contact information

Practice address
210 E 161ST ST, BRONX, NY 10451-3584
(718) 681-9741
Mailing address
210 E 161ST ST, BRONX, NY 10451-3584

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C005513-1
NY

Other

Enumeration date
03/15/2007
Last updated
01/16/2008
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