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NPI Code Detail

MEDICARE: ROBERT DORFMAN

MEDICARE: ROBERT DORFMAN
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
1207V00000XObstetrics & Gynecology Physician207181NY

General Provider Information

NPI Number : 1306889019
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DORFMAN
Provider Business Mailing Address
First Line : 2570 ROUTE 9W
Second Line : SUITE 10
City : CORNWALL
State : NY
Zip : 12518-1323
Country : US
Telephone Number : 845-220-3100
Fax Number : 845-534-2940
Provider Business Practice Location Address
First Line : 147 LAKE ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5263
Country : US
Telephone Number : 845-563-8000
Fax Number : 845-534-2940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 05/26/2016

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