MEDICARE: ROBERT TOWNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	183466	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285681650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT TOWNER

Provider Business Mailing Address
First Line	:	357 E 57TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9020 ELMHURST AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7936
Country	:	US
Telephone Number	:	718-743-7090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	01/09/2008

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