Search › New York › 183500000X
Robert Devivo
NPI 1396036497 · on the registry since 2011 · sole proprietor
Practice
- Address
- 531 W Merrick Rd
Valley Stream, NY 11580 - Phone
- (516) 561-1222
- Fax
- (516) 561-1223
- Organisation at this address
- Dedale Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York