Individual
DR. ROBERT JOSEPH CRAIG LACIVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7703
Mailing address
450 W 42ND ST, APT. 14Q, NEW YORK, NY 10036-6800
(617) 834-0628
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
274890
NY
Other
Enumeration date
12/12/2006
Last updated
05/28/2014
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