Mormando, Robert

Mormando, Robert is an individual health care provider with primary practice located at 410 Hallock Ave , Port Jefferson Station NY 11776-1232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mormando, Robert can be contacted via phone (631) 642-1100.

Contact Information

Primary practice address
410 Hallock Ave Port Jefferson Station NY 11776-1232
Phone: (631) 642-1100
Fax: (631) 642-1190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200407 New York

Profile Details

NPI number 1306816129
LBN Legal business name Mormando, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 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 1306816129 NPPES
New York Other 200407 LICENSE

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