MEDICARE: DAROSSO & CORNIER LLC

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
1	208000000X	Pediatrics Physician	D0082579	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1396283347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAROSSO & CORNIER LLC

Provider Business Mailing Address
First Line	:	351 CRESCENDO WAY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-5020
Country	:	US
Telephone Number	:	914-645-2228
Fax Number	:

Provider Business Practice Location Address
First Line	:	8933 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4339
Country	:	US
Telephone Number	:	914-645-2228
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. ROBERT DAROSSO
Credential	:	M.D.
Telephone Number	:	914-645-2228

Provider Enumeration Date	:	02/09/2017
Last Update Date	:	02/09/2017

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