Robert Rudolph Demeo in Staten Island - Specialist
Robert Rudolph Demeo - NPI 1043220262
Robert Rudolph Demeo is a Specialist in Staten Island, New York. Robert Rudolph Demeo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert Rudolph Demeo is 1043220262. The last update date is 2007-07-09.
Robert Rudolph Demeo's current location address is 522 Tysens Ln, Staten Island, New York. You can contact this provider via phone number 7186672156 and fax number 7186681468. The mailing address for Robert Rudolph Demeo is 522 Tysens Ln, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Rudolph Demeo |
|---|---|
| Address | 522 Tysens Ln, Staten Island, New York |
| Phone Number | 7186672156 |
| Fax Number | 7186681468 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043220262 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 522 Tysens Ln |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103064241 |
| Phone Number | 7186672156 |
| Fax Number | 7186681468 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 121217 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0C5855 | NY | TOUCHSTONE | |
| 17704 | NY | GHI | |
| 0S234 | NY | OXFORD | |
| 25320P | NY | HIP | |
| 56343 | NY | AETNA | |
| RD037D5310 | NY | BLUE CROSS | |
| 870755 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert Rudolph Demeo by the Centers for Medicare & Medicaid Services?
The Robert Rudolph Demeo has been issued the NPI (National Provider Identifier) 1043220262, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Robert Rudolph Demeo?
The Robert Rudolph Demeo is physically situated at 522 Tysens Ln, in the city of Staten Island, state of NY, with the postal code 103064241.
What is Robert Rudolph Demeo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Rudolph Demeo is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Robert Rudolph Demeo receive the assignment of its 1043220262 from the Centers for Medicare & Medicaid Services?
The Robert Rudolph Demeo was issued its 1043220262 by the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date was the information pertaining to Robert Rudolph Demeo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Rudolph Demeo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.