Bobrow, Robert

Bobrow, Robert is an individual health care provider with primary practice located at 450 Waverly Ave , Patchogue NY 11772-1555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bobrow, Robert can be contacted via phone (631) 444-6300.

Contact Information

Primary practice address
450 Waverly Ave Patchogue NY 11772-1555
Phone: (631) 444-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 109079 New York

Profile Details

NPI number 1548204613
LBN Legal business name Bobrow, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 23rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548204613 NPPES
New York Other 4373158 AETNA
New York MEDICAID 01011123 AETNA
New York Other 9X4113 AETNA

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