Healthcare Provider Details

I. General information

NPI: 1013094549
Provider Name (Legal Business Name): ROBERT SCOTT MORGANTINI R.N.F.A., C.N.O.R.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 WALKER RD
HOPEWELL JUNCTION NY
12533-5527
US

IV. Provider business mailing address

32 WALKER RD
HOPEWELL JUNCTION NY
12533-5527
US

V. Phone/Fax

Practice location:
  • Phone: 845-227-3045
  • Fax: 845-227-3045
Mailing address:
  • Phone: 845-227-3045
  • Fax: 845-227-3045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number488531-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: