Provider Demographics
NPI:1003846031
Name:R AND M MEDICAL OFFICE CONSULTANTS & STAFFING, INC.
Entity Type:Organization
Organization Name:R AND M MEDICAL OFFICE CONSULTANTS & STAFFING, INC.
Other - Org Name:R AND M MEDICAL OFFICE CONSULTANTS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-277-2028
Mailing Address - Street 1:15 GERMAINE ST
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1732
Mailing Address - Country:US
Mailing Address - Phone:516-277-2028
Mailing Address - Fax:
Practice Address - Street 1:15 GERMAINE ST
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1732
Practice Address - Country:US
Practice Address - Phone:516-277-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty