MEDICARE: DR. ROBERT CHARLES PARAJON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N004511	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053382838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CHARLES PARAJON DPM

Provider Business Mailing Address
First Line	:	243 NORTH ROAD
Second Line	:	SUITE 304
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12524-1789
Country	:	US
Telephone Number	:	845-451-7251
Fax Number	:	845-471-7372

Provider Business Practice Location Address
First Line	:	696 DUTCHESS TPKE STE M
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-6429
Country	:	US
Telephone Number	:	845-451-7266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	05/27/2022

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