Serino, Robert J

Serino, Robert J is an individual health care provider with primary practice located at 8 Medical Dr , Pt Jefferson Stn NY 11776. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Serino, Robert J can be contacted via phone (631) 928-8585.

Contact Information

Primary practice address
8 Medical Dr Pt Jefferson Stn NY 11776
Phone: (631) 928-8585
Fax: (631) 928-8861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 036005 New York

Profile Details

NPI number 1487793642
LBN Legal business name Serino, Robert J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 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 1487793642 NPPES
New York MEDICAID 00770127

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