Decarlo, Robert L

Decarlo, Robert L is an individual health care provider with primary practice located at 1729 Burrstone Road , New Hartford NY 13413. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Decarlo, Robert L can be contacted via phone (315) 798-1460.

Contact Information

Primary practice address
1729 Burrstone Road New Hartford NY 13413
Phone: (315) 798-1460
Fax: (315) 798-1872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 002568 New York

Profile Details

NPI number 1831187590
LBN Legal business name Decarlo, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Nov 23rd, 2011 - about 15 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 1831187590 NPPES
New York MEDICAID 00401932

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