Pesci, Robert

Pesci, Robert is an individual health care provider with primary practice located at 1061 N Broadway , Massapequa NY 11758-1802. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pesci, Robert can be contacted via phone (516) 454-6387.

Contact Information

Primary practice address
1061 N Broadway Massapequa NY 11758-1802
Phone: (516) 454-6387
Fax: (516) 454-6303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 029487-1 New York

Profile Details

NPI number 1093905531
LBN Legal business name Pesci, Robert
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Jul 10th, 2008 - about 16 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 1093905531 NPPES
New York Other 11859214 CAQH

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