MEDICARE: DR. ROBERT CHARLES DELGADO 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	2084P0800X	Psychiatry Physician	120802	NY

General Provider Information

NPI Number	:	1578569299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CHARLES DELGADO M.D.

Provider Business Mailing Address
First Line	:	305 E 24TH ST
Second Line	:	APT 20A
City	:	NEW YORK
State	:	NY
Zip	:	10010-4029
Country	:	US
Telephone Number	:	212-684-0736
Fax Number	:	212-684-1335

Provider Business Practice Location Address
First Line	:	423 E 23RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5011
Country	:	US
Telephone Number	:	212-686-7500
Fax Number	:	212-951-6357

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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