Basic Information
Provider Information
NPI: 1023770971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMERO
FirstName: FRANCES
MiddleName: KATHRYN
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 GREAT OAKS DR
Address2:  
City: NEW CITY
State: NY
PostalCode: 109567131
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 27005 76TH AVE
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110401402
CountryCode: US
TelephoneNumber: 7184707000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/07/2021
LastUpdateDate: 12/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X687921NYN Nursing Service ProvidersRegistered Nurse 
163W00000XRN9490298FLN Nursing Service ProvidersRegistered Nurse 
367500000X136732NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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