Provider Demographics
NPI:1235968173
Name:ROMITO, ANNE-MARIE
Entity type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:
Last Name:ROMITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SCHNEIDER LN
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-4333
Mailing Address - Country:US
Mailing Address - Phone:631-806-7838
Mailing Address - Fax:
Practice Address - Street 1:115 SCHNEIDER LN
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-4333
Practice Address - Country:US
Practice Address - Phone:631-806-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency