Individual provider · Type 1 NPI
Robert Rudolph Demeo, MD
Specialist · Staten Island, NY
NPI number
1043220262
Active
Practice location
522 Tysens Ln
Staten Island, NY 10306-4241
Fax (718) 668-1468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 121217 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043220262
Robert Rudolph Demeo, MD's National Provider Identifier is 1043220262, issued on Aug 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 9, 2007.