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NPI Code Detail

MEDICARE: DR. ROBERT JAY SOMMER M.D.

MEDICARE: DR. ROBERT JAY SOMMER M.D.
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
1207RC0000XCardiovascular Disease Physician166675NY
2207RA0002XAdult Congenital Heart Disease Physician166675NY

Other Identifiers

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

General Provider Information

NPI Number : 1316954514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JAY SOMMER M.D.
Provider Business Mailing Address
First Line : 630 W 168TH ST # 4
Second Line : VC 12TH FLOOR, SUITE 208
City : NEW YORK
State : NY
Zip : 10032-3725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 161 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-3729
Country : US
Telephone Number : 212-342-3616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 05/18/2021

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