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Individual

DR. ROBERT S LA MANTIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3911 MAIN ST, EGGERTSVILLE, NY 14226
(716) 833-3366
(716) 862-0789
Mailing address
3911 MAIN ST, EGGERTSVILLE, NY 14226
(716) 833-3366
(716) 862-0789

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1204821
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00481278
NY
Enumeration date
12/18/2006
Last updated
04/25/2016
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