Provider Demographics
NPI:1144878257
Name:ROMEO, GABRIELLA LUISA (MS, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:LUISA
Last Name:ROMEO
Suffix:
Gender:F
Credentials:MS, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-3522
Mailing Address - Country:US
Mailing Address - Phone:631-372-6731
Mailing Address - Fax:
Practice Address - Street 1:210 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2979
Practice Address - Country:US
Practice Address - Phone:631-757-9500
Practice Address - Fax:631-757-2325
Is Sole Proprietor?:No
Enumeration Date:2019-09-01
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344783-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily