Healthcare Provider Details

I. General information

NPI: 1659332765
Provider Name (Legal Business Name): ROBERT W LOBEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PALISADES DR SUITE 220
ALBANY NY
12205-6433
US

IV. Provider business mailing address

5 PALISADES DR SUITE 220
ALBANY NY
12205-6433
US

V. Phone/Fax

Practice location:
  • Phone: 518-438-5538
  • Fax: 518-438-6104
Mailing address:
  • Phone: 518-438-5538
  • Fax: 518-438-6104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number203874-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number203874-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: