Provider Demographics
NPI:1497826218
Name:ROMANO, JAMES E (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:ROMANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:NY
Mailing Address - Zip Code:10933
Mailing Address - Country:US
Mailing Address - Phone:845-726-4485
Mailing Address - Fax:
Practice Address - Street 1:18 GOLF LINKS RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2624
Practice Address - Country:US
Practice Address - Phone:845-342-5506
Practice Address - Fax:845-342-5404
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0072-73111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY061376649OtherACN
NYX6203-1OtherEMPIRE BC BS
NY127324OtherMPN
NY127324OtherMPN
NYU38554Medicare UPIN