Healthcare Provider Details

I. General information

NPI: 1396283347
Provider Name (Legal Business Name): DAROSSO & CORNIER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 02/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 COLESVILLE RD
SILVER SPRING MD
20910-4339
US

IV. Provider business mailing address

351 CRESCENDO WAY
SILVER SPRING MD
20901-5020
US

V. Phone/Fax

Practice location:
  • Phone: 914-645-2228
  • Fax:
Mailing address:
  • Phone: 914-645-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0082579
License Number StateMD

VIII. Authorized Official

Name: DR. ROBERT DAROSSO
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 914-645-2228