Dickerson, Robert Cushman

Dickerson, Robert Cushman is an sole proprietor health care provider with primary practice located at 2 Oakfield Way , Pittsford NY 14534-1887. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dickerson, Robert Cushman can be contacted via phone (585) 381-3033.

Contact Information

Primary practice address
2 Oakfield Way Pittsford NY 14534-1887
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 60-076974 New York

Profile Details

NPI number 1144569419
LBN Legal business name Dickerson, Robert Cushman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2013
Last updated Feb 6th, 2013 - about 13 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 1144569419 NPPES
New York Other 60-076974 PHYSICIAN LICENSE NUMBER

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