Provider Demographics
NPI:1386898757
Name:ROMANOSKY, MARIA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:ROMANOSKY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:AMPULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:3719 MAPLEHURST DR
Mailing Address - Street 2:
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13760-2538
Mailing Address - Country:US
Mailing Address - Phone:607-239-5578
Mailing Address - Fax:607-239-5578
Practice Address - Street 1:3719 MAPLEHURST DR
Practice Address - Street 2:
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-2538
Practice Address - Country:US
Practice Address - Phone:607-239-5578
Practice Address - Fax:607-239-5578
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009431-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist