Individual
RICHARD MAROTTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 E ROE BLVD, PATCHOGUE MEDICAL GROUP, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5166
Mailing address
1 E ROE BLVD, PATCHOGUE MEDICAL GROUP, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5166
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453992
—
NY
01
—
A400228137
MEDICARE
—
Enumeration date
10/12/2006
Last updated
09/04/2020
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