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Individual

DR. ROBERT L DECARLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1729 BURRSTONE ROAD, NEW HARTFORD, NY 13413
(315) 798-1460
(315) 798-1872
Mailing address
1729 BURRSTONE ROAD, SLOCUM DICKSON MEDICAL GROUP, NEW HARTFORD, NY 13413
(315) 798-1460
(315) 798-1872

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002568
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00401932
NY
Enumeration date
10/07/2005
Last updated
11/23/2011
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