Individual
DR. ROBERT IADEVAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 N CENTRE AVE, STE 202, ROCKVILLE CENTRE, NY 11570-3923
(516) 764-7246
(516) 678-3525
Mailing address
77 N CENTRE AVE STE 202, ROCKVILLE CENTRE, NY 11570-3923
(516) 764-7246
(516) 678-3525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
200787-3
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
200787-3
NY
Other
Enumeration date
01/12/2006
Last updated
03/09/2020
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