Dimartino, John Robert

Dimartino, John Robert is an sole proprietor health care provider with primary practice located at 747 N Broadway , Massapequa NY 11758-2395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dimartino, John Robert can be contacted via phone (516) 795-5200.

Contact Information

Primary practice address
747 N Broadway Massapequa NY 11758-2395
Fax: (516) 795-3865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 157041 New York

Profile Details

NPI number 1104901057
LBN Legal business name Dimartino, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jul 16th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104901057 NPPES
Other CP486 OXFORD
Other 0045289 OXFORD

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