Thomas A Mortillaro
Orthodontists
8219 12th Ave
Brooklyn
, New York 11228-2933
Thomas A Mortillaro
Orthodontists
8219 12th Ave
Brooklyn
, New York 11228-2933
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Thomas A Mortillaro
- 8219 12th Ave
- Brooklyn, NY
- Zip : 11228-2933
- Phone :
Second Address
- Thomas A Mortillaro
- 8219 12th Ave
- Brooklyn, NY
- Zip : 11228-2933
- Phone : (718) 491-3901
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Is Thomas A Mortillaro a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 045148 | NY |
National Provider Identifier
| NPI | 1063536787 |
|---|---|
| Provider Name | Thomas A Mortillaro |
| First Address | Brooklyn, NY 11228-2933 |
| Second Address | Brooklyn, NY 11228-2933 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2007 |
| Last Update Date | 17/08/2020 |
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.