MEDICARE: DR. BETTY ROBIN FUCHS 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
1	207RR0500X	Rheumatology Physician	170443	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00229098	OTHER	NY	RAILROAD MEDICARE

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
2	10000709	OTHER	NY	CDPHP
3	36116	OTHER	NY	MVP
5	000417015002	OTHER	NY	BLUE SHIELD

General Provider Information

NPI Number	:	1447259437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETTY ROBIN FUCHS M.D.

Provider Business Mailing Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:	SUITE 218
City	:	LATHAM
State	:	NY
Zip	:	12110-2490
Country	:	US
Telephone Number	:	518-213-0410
Fax Number	:	518-640-9107

Provider Business Practice Location Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:	SUITE 218
City	:	LATHAM
State	:	NY
Zip	:	12110-2490
Country	:	US
Telephone Number	:	518-213-0410
Fax Number	:	518-640-9107

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	10/24/2007

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