Abdoo, Robert Alan
Abdoo, Robert Alan is an individual health care provider with primary practice located at 3630 Hill Blvd Ste 402, Jefferson Valley NY 10535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abdoo, Robert Alan can be contacted via phone (914) 245-8808.Contact Information
Primary practice address
3630 Hill Blvd Ste 402
Jefferson Valley NY 10535
Phone: (914) 245-8808
Fax: (914) 245-1014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 145177 | New York |
Profile Details
| NPI number | 1336215904 |
|---|---|
| LBN Legal business name | Abdoo, Robert Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336215904 | NPPES |
| New York | MEDICAID | 007744927 | |
| New York | Other | CIM1451772 | |
| New York | Other | WP449 |
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