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Contact Information

ROBERT IADEVAIO, MD
77 N CENTRE AVE
STE 202
ROCKVILLE CENTRE, NY11570-3923
 Phone: 516-764-7246
 Fax: 516-678-3525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ROBERT IADEVAIO · (Male)

NPI Number 1285613760
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2006
Last updated 03/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 200787-3
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    1000 NORTH VILLAGE AVENUE
    ROCKVILLE CENTRE, NY 11570
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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