MEDICARE: ROBERT JOHN DORIN D.O.

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	208200000X	Plastic Surgery Physician	221845	NY

General Provider Information

NPI Number	:	1134221146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOHN DORIN D.O.

Provider Business Mailing Address
First Line	:	360 LEXINGTON AVE
Second Line	:	SUITE 1102
City	:	NEW YORK
State	:	NY
Zip	:	10017-6502
Country	:	US
Telephone Number	:	212-826-2525
Fax Number	:	212-980-5696

Provider Business Practice Location Address
First Line	:	360 LEXINGTON AVE
Second Line	:	SUITE 1102
City	:	NEW YORK
State	:	NY
Zip	:	10017-6502
Country	:	US
Telephone Number	:	212-826-2525
Fax Number	:	212-980-5696

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/08/2007

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