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NPI Code Detail

MEDICARE: ROBERTO MAURI M.D.

MEDICARE:   ROBERTO  MAURI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician74604MA
2207R00000XInternal Medicine Physician186084NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306885306
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO MAURI M.D.
Provider Business Mailing Address
First Line : 571 SAINT JOSEPHS BLVD FL 2
Second Line :
City : ELMIRA
State : NY
Zip : 14901-3230
Country : US
Telephone Number : 607-271-2050
Fax Number :
Provider Business Practice Location Address
First Line : 859 BROADWAY ST
Second Line :
City : ELMIRA
State : NY
Zip : 14904-2501
Country : US
Telephone Number : 607-734-8179
Fax Number : 607-733-3893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 06/16/2016

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Directions to “ ROBERTO MAURI M.D.” Practice Location

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