Individual
ROBERT MICHAEL CONENELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
100 DUTCH HILL RD, SUITE 270, ORANGEBURG, NY 10962-2197
(845) 365-3100
(845) 365-3253
Mailing address
100 DUTCH HILL RD, SUITE 270, ORANGEBURG, NY 10962-2197
(845) 365-3100
(845) 365-3253
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
MD02083
NJ
213ES0131X
Foot Surgery Podiatrist
Primary
N004796-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234399
—
NY
01
—
4628693
AETNA
NY
01
—
RS294
OXFORD
NY
Enumeration date
11/17/2006
Last updated
03/11/2011
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