Nataloni, Roberta

Nataloni, Roberta is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nataloni, Roberta can be contacted via phone (631) 474-6000.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1928
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 158898 New York

Profile Details

NPI number 1679574545
LBN Legal business name Nataloni, Roberta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
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 1679574545 NPPES
New York MEDICAID 01123028

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