Healthcare Provider Details

I. General information

NPI: 1972761179
Provider Name (Legal Business Name): ROBERT MORGANTINI REGISTERED PROFESIONAL NURSE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2008
Last Update Date: 05/26/2008
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:
Mailing address:
  • Phone: 845-227-3045
  • Fax:

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: MR. ROBERT SCOTT MORGANTINI
Title or Position: REGISTERED NURSE FIRST ASSISTANT
Credential: R.N.F.A. , C.N.O.R.
Phone: 845-227-3045