Provider Demographics
NPI:1902964539
Name:ROMANO, MADDALENA MARIA (OTR)
Entity Type:Individual
Prefix:MS
First Name:MADDALENA
Middle Name:MARIA
Last Name:ROMANO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14175 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:MALBA
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2303
Mailing Address - Country:US
Mailing Address - Phone:718-704-3930
Mailing Address - Fax:
Practice Address - Street 1:130 W KINGSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-3904
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220702225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist