=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114982865
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT HAROLD ABLOVE MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2006
-----------------------------------------------------
Last Update Date | 07/23/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 462 GRIDER STREET UBMD ORTHOPAEDICS AND SPORTS MEDICINE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-898-3457
-----------------------------------------------------
Fax | 716-898-5743
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 462 GRIDER STREET UBMD ORTHOPAEDICS AND SPORTS MEDICINE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-898-3457
-----------------------------------------------------
Fax | 716-898-5743
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 45834
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 182650
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207XS0106X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Hand Surgery Physician
-----------------------------------------------------
License Number | 182650
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------