Individual
MR. ROBERT PASSAMENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
108 HIGBIE LN, WEST ISLIP, NY 11795-3923
(631) 587-0940
(631) 587-2092
Mailing address
108 HIGBIE LN, WEST ISLIP, NY 11795-3923
(631) 587-0940
(631) 587-2073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014444
NY
Other
Enumeration date
11/02/2010
Last updated
01/19/2012
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