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1306821004
ROBERT DEPORTO
NEW YORK, NY
NPI
1306821004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NY 209035)
Enumeration Date
2005-12-14
Last Update Date
2011-07-26
Business Address
-- ROBERT DEPORTO D.O.
314 E 30TH ST
NEW YORK, NY 10016-8303
Phone number: 646-370-2040
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Mailing Address
-- ROBERT DEPORTO D.O.
314 E 30TH ST
NEW YORK, NY 10016-8303
Phone number: 646-370-2040
Copy
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