Lao, Rogelio S
Lao, Rogelio S is an individual health care provider with primary practice located at 34 Commerce Ave Suite 2, Riverhead NY 11901-3118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lao, Rogelio S can be contacted via phone (631) 722-8880.Contact Information
Primary practice address
34 Commerce Ave Suite 2
Riverhead NY 11901-3118
Phone: (631) 722-8880
Fax: (631) 722-7851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 103078 | New York |
Profile Details
| NPI number | 1386682565 |
|---|---|
| LBN Legal business name | Lao, Rogelio S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Oct 26th, 2012 - about 12 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 | 1386682565 | NPPES |
| New York | MEDICAID | 00649243 |
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