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General NPI Number Information
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NPI Number | 1437284734
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Entity Type | Organization
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Legal Business Name | ROBBY SHORT, MD PC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8012 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-1901
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Country | US
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Telephone | 718-521-1056
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Fax | 718-521-1104
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Provider Business Mailing Address
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Address Line | 8012 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-1901
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Country | US
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Telephone | 718-521-1056
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Fax | 718-521-1104
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Authorized Official
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Title or Position | MD
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Name | DR. ROBBY SHORT
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Credential |
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Telephone | 718-521-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 165927
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License Number State | NY
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