Healthcare Provider Details
I. General information
NPI: 1679545651
Provider Name (Legal Business Name): ROBERT W. ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/03/2006
Last Update Date: 03/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1243 PENNSYLVANIA AVE
PINE CITY NY
14871-9230
US
IV. Provider business mailing address
1 GUTHRIE SQ
SAYRE PA
18840-1625
US
V. Phone/Fax
- Phone: 607-734-3929
- Fax: 607-734-0781
- Phone: 570-888-5858
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD0299573E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: