Mr Marc Thomas Romanello, LCSW | |
21111 Northern Blvd, Bayside, NY 11361-3241 | |
(212) 273-6272 | |
Not Available |
Full Name | Mr Marc Thomas Romanello |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 21111 Northern Blvd, Bayside, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538627872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 092595-01 (New York) | Primary |
104100000X | Social Worker | 105777-1 (New York) | Secondary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
Mailing Address | Practice Location Address |
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Mr Marc Thomas Romanello, LCSW 83-85 Washington St Apt 2e, Norwalk, CT 06854-3014 Ph: (631) 831-6876 | Mr Marc Thomas Romanello, LCSW 21111 Northern Blvd, Bayside, NY 11361-3241 Ph: (212) 273-6272 |
Dr. Rosie Rodriguez, SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21512 47th Ave, Bayside, NY 11361 Phone: 718-224-3045 | |
Giulia Fagan, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3909 214th Pl, Bayside, NY 11361 Phone: 718-229-5757 | |
Eileen Carol Travis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21704 Northern Blvd, Bayside, NY 11361 Phone: 718-423-7371 Fax: 212-382-6769 | |
Carmen Mezarina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21111 Northern Blvd Bay Bayside, Bayside, NY 11361 Phone: 347-358-1914 | |
Mrs. Lynn C. Moses, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Fort Totten, Building 413, Bayside, NY 11359 Phone: 718-352-2140 Fax: 718-352-2491 | |
Richard Wallace Koffler, CASAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1666 Bell Blvd Apt 724, Bayside, NY 11360 Phone: 917-597-5592 Fax: 718-428-2705 | |
Linda Santiago, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1644 212th St # 2, Bayside, NY 11360 Phone: 718-710-1516 |