MEDICARE: HARVEY ROBERT DOBROW MD

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	207W00000X	Ophthalmology Physician	25MA02742900	NJ
2	207W00000X	Ophthalmology Physician	101726	NY

General Provider Information

NPI Number	:	1801866504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARVEY ROBERT DOBROW MD

Provider Business Mailing Address
First Line	:	500 E 77TH ST
Second Line	:	APT.1923
City	:	NEW YORK
State	:	NY
Zip	:	10162-0025
Country	:	US
Telephone Number	:	212-772-0240
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E 77TH ST
Second Line	:	APT.1923
City	:	NEW YORK
State	:	NY
Zip	:	10162-0025
Country	:	US
Telephone Number	:	212-772-0240
Fax Number	:

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	03/19/2013

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