Robert De Sadow
NPI #1205199965 in Lake Success, New York
Provider Information
- NPI Number
- 1205199965
- Entity Type
- Individual
- Name
- Robert De Sadow
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 19, 2012
- Last Updated
- Jun 19, 2012
Practice Location
- Address
- 7 HAMPTON CT
- City
- Lake Success
- State
- New York
- ZIP Code
- 11020-1263
- Phone
- (917) 648-0504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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