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Individual

ROBERT D'AVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
850 HICKSVILLE RD, SUITE 104, SEAFORD, NY 11783-1300
(516) 798-0141
Mailing address
850 HICKSVILLE RD STE 104, SEAFORD, NY 11783-1300

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
151736
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
980929
NY
Enumeration date
05/10/2006
Last updated
06/09/2015
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