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MR. ROBERTO PREVIATO DOS REIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709
(845) 876-3001
Mailing address
2678 SOUTH RD STE 202, POUGHKEEPSIE, NY 12601-5254
(845) 790-5700
(845) 790-5719

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012637
NY
363AM0700X
Medical Physician Assistant
Primary
12637
NY
363AS0400X
Surgical Physician Assistant
001904
CT
363AS0400X
Surgical Physician Assistant
012637
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03306690
NY
Enumeration date
05/01/2007
Last updated
09/11/2019
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