Provider Demographics
NPI:1972761179
Name:ROBERT MORGANTINI REGISTERED PROFESIONAL NURSE P.C.
Entity type:Organization
Organization Name:ROBERT MORGANTINI REGISTERED PROFESIONAL NURSE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE FIRST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MORGANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA , CNOR
Authorized Official - Phone:845-227-3045
Mailing Address - Street 1:32 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5527
Mailing Address - Country:US
Mailing Address - Phone:845-227-3045
Mailing Address - Fax:
Practice Address - Street 1:32 WALKER RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5527
Practice Address - Country:US
Practice Address - Phone:845-227-3045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY488531-1163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty