Dimartino, John Robert
Dimartino, John Robert is an sole proprietor health care provider with primary practice located at 747 N Broadway , Massapequa NY 11758-2395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dimartino, John Robert can be contacted via phone (516) 795-5200.Contact Information
Primary practice address
747 N Broadway
Massapequa NY 11758-2395
Phone: (516) 795-5200
Fax: (516) 795-3865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 157041 | New York |
Profile Details
| NPI number | 1104901057 |
|---|---|
| LBN Legal business name | Dimartino, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 16th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104901057 | NPPES |
| Other | CP486 | OXFORD | |
| Other | 0045289 | OXFORD |
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