Deporto, Robert
Deporto, Robert is an individual health care provider with primary practice located at 314 E 30Th St , New York NY 10016-8303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Deporto, Robert can be contacted via phone (646) 370-2040.Contact Information
Primary practice address
314 E 30Th St
New York NY 10016-8303
Phone: (646) 370-2040
Fax: (646) 370-2012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 209035 | New York |
Profile Details
| NPI number | 1306821004 |
|---|---|
| LBN Legal business name | Deporto, Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 26th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306821004 | NPPES |
| New York | MEDICAID | 01905691 |
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