Provider Demographics
NPI:1194709709
Name:ROMAGNOLI, MARIO F (MD)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:F
Last Name:ROMAGNOLI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:903 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0338
Mailing Address - Country:US
Mailing Address - Phone:212-396-3390
Mailing Address - Fax:212-396-3728
Practice Address - Street 1:903 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0338
Practice Address - Country:US
Practice Address - Phone:212-396-3390
Practice Address - Fax:212-396-3728
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY131391207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB17864Medicare UPIN