Healthcare Provider Details

I. General information

NPI: 1295845212
Provider Name (Legal Business Name): ROBERT M. WILKINS, M.D PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W 51ST ST
NEW YORK NY
10019-6301
US

IV. Provider business mailing address

158 W 27TH ST 11TH FLOOR SOUTH
NEW YORK NY
10001-6216
US

V. Phone/Fax

Practice location:
  • Phone: 212-563-2497
  • Fax: 212-563-0605
Mailing address:
  • Phone: 212-563-2497
  • Fax: 212-563-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT M. WILKINS
Title or Position: DIRECTOR
Credential: M.D.
Phone: 212-563-2497