1972755023 NPI number — MS. KRISTA ROMANSKI M.S.E.D.

Table of content: MS. KRISTA ROMANSKI M.S.E.D. (NPI 1972755023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972755023 NPI number — MS. KRISTA ROMANSKI M.S.E.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMANSKI
Provider First Name:
KRISTA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.E.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZIOBROWSKI
Provider Other First Name:
KRISTA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S.E.D
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1972755023
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
32 OUTLOOK DR S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MECHANICVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12118-3643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-701-0762
Provider Business Mailing Address Fax Number:
518-541-2012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32 OUTLOOK DR S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MECHANICVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12118-3643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-701-0762
Provider Business Practice Location Address Fax Number:
518-541-2012
Provider Enumeration Date:
10/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  009126 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 842034944 . This is a "DRIVER'S LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com