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Contact Information

ROBERT F MALCOMSON, RN
998 CROOKED HILL RD
BRENTWOOD, NY11717-1043
 Phone: 631-306-5778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

163WA0400X
Indicates primary specialty

NPI Profile & details for ROBERT F MALCOMSON · (Male)

NPI # 1316097207
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/11/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 473687-1
  • NY Medicaid 473687-1
Hospital affiliation(s) Not Available
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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