Healthcare Provider Details

I. General information

NPI: 1417012154
Provider Name (Legal Business Name): ROBERT J LOSIER JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2391 ARTHUR AVE
BRONX NY
10458-8185
US

IV. Provider business mailing address

57 RIDGEMONT DR.
HOPEWELL JUNCTION NY
12533
US

V. Phone/Fax

Practice location:
  • Phone: 347-577-6106
  • Fax: 347-577-6108
Mailing address:
  • Phone: 845-592-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberN006006-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: