Individual
ROBERT DEPORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
314 E 30TH ST, NEW YORK, NY 10016-8303
(646) 370-2040
(646) 370-2012
Mailing address
314 E 30TH ST, NEW YORK, NY 10016-8303
(646) 370-2040
(646) 370-2012
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
209035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01905691
—
NY
Enumeration date
12/14/2005
Last updated
01/07/2025
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