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Contact Information

ROBERT M DEVIVO
531 W MERRICK RD
VALLEY STREAM, NY11580-5125
 Phone: 516-561-1222
 Fax: 516-561-1223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ROBERT M DEVIVO · (Male)

NPI Number 1396036497
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2011
Last updated 05/04/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 043203
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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