Domozych, Robert Anthony

Domozych, Robert Anthony is an individual health care provider with primary practice located at 127 West Main Street , East Islip NY 11730. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Domozych, Robert Anthony can be contacted via phone (631) 277-4848.

Contact Information

Primary practice address
127 West Main Street East Islip NY 11730
Fax: (631) 277-4849
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 039363 New York

Profile Details

NPI number 1235271362
LBN Legal business name Domozych, Robert Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1235271362 NPPES
New York MEDICAID 01435423

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