Dr. Robert Branca
Dentist - General Practice
112 Alexander Ave Suite A
Lake Grove
, New York 11755-0429
Dr. Robert Branca
Dentist - General Practice
112 Alexander Ave Suite A
Lake Grove
, New York 11755-0429
(631) 265-9735
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Robert Branca
- 112 Alexander Ave Suite A
- Lake Grove, NY
- Zip : 11755-0429
- Fax : (631) 265-9735
- Phone : (631) 265-6655
Second Address
- Dr. Robert Branca
- 112 Alexander Ave Suite A
- Lake Grove, NY
- Zip : 11755-0429
- Fax : (631) 265-9735
- Phone : (631) 265-6655
Reviews
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Is Dr. Robert Branca a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 040425 | NY |
| Y | 213EG0000X | General Practice | 040425 | NY |
National Provider Identifier
| NPI | 1003805748 |
|---|---|
| Provider Name | Dr. Robert Branca |
| First Address | Lake Grove, NY 11755-0429 |
| Second Address | Lake Grove, NY 11755-0429 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2005 |
| Last Update Date | 02/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040425 | LIC # (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.