Healthcare Provider Details

I. General information

NPI: 1932196102
Provider Name (Legal Business Name): ROBERT PHILIP RINGLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 06/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 N BALLSTON AVE
SCOTIA NY
12302-2427
US

IV. Provider business mailing address

297 N BALLSTON AVE
SCOTIA NY
12302-2427
US

V. Phone/Fax

Practice location:
  • Phone: 518-370-4700
  • Fax: 518-370-0659
Mailing address:
  • Phone: 518-370-4700
  • Fax: 518-370-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number158775
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: