Fuentes, Robert

Fuentes, Robert is an individual health care provider with primary practice located at 4150 Sunrise Hwy , Massapequa NY 11758-5303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fuentes, Robert can be contacted via phone (516) 541-1721.

Contact Information

Primary practice address
4150 Sunrise Hwy Massapequa NY 11758-5303
Phone: (516) 541-1721
Fax: (516) 541-1463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 141462 New York
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 141462 New York

Profile Details

NPI number 1376624288
LBN Legal business name Fuentes, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
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 1376624288 NPPES
New York MEDICAID 00850404

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