Mauri, Roberto

Mauri, Roberto is an individual health care provider with primary practice located at 859 Broadway St , Elmira NY 14904-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mauri, Roberto can be contacted via phone (607) 734-8179.

Contact Information

Primary practice address
859 Broadway St Elmira NY 14904-2501
Fax: (607) 733-3893
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 74604 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 186084 New York

Profile Details

NPI number 1306885306
LBN Legal business name Mauri, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 16th, 2016 - about 9 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 1306885306 NPPES
New York MEDICAID 01693269

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