Mazzeo, Robert Frederick
Mazzeo, Robert Frederick is an individual health care provider with primary practice located at 640 Hawkins Ave , Lake Ronkonkoma NY 11779-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mazzeo, Robert Frederick can be contacted via phone (631) 737-0100.Contact Information
Primary practice address
640 Hawkins Ave
Lake Ronkonkoma NY 11779-2324
Phone: (631) 737-0100
Fax: (631) 737-0100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 162565 | New York |
Profile Details
NPI number | 1043240534 |
---|---|
LBN Legal business name | Mazzeo, Robert Frederick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Sep 20th, 2019 - about 5 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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