Taddeo, Ronald J

Taddeo, Ronald J is an sole proprietor health care provider with primary practice located at 4 Phyllis Dr Suite H, Patchogue NY 11772-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Taddeo, Ronald J can be contacted via phone (631) 447-7560.

Contact Information

Primary practice address
4 Phyllis Dr Suite H Patchogue NY 11772-2900
Phone: (631) 447-7560
Fax: (631) 447-7561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 123293 New York

Profile Details

NPI number 1861522245
LBN Legal business name Taddeo, Ronald J
Credentials MD,, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861522245 NPPES
New York Other 123293 HIP
New York Other 222095432 HIP
New York Other 095041 HIP
New York Other 0071438 HIP
New York Other 222095432 HIP
New York Other 66F592 HIP
New York Other P563956 HIP
New York Other 3105845 HIP
New York Other 222095432 HIP

Popular Providers