Dickerson, Robert
Dickerson, Robert is an sole proprietor health care provider with primary practice located at 324 E 112 6B, New York City NY 10029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dickerson, Robert can be contacted via phone (212) 879-5168.Contact Information
Primary practice address
324 E 112 6B
New York City NY 10029
Phone: (212) 879-5168
Fax: (212) 879-5168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 151361 | New York |
Profile Details
| NPI number | 1326070590 |
|---|---|
| LBN Legal business name | Dickerson, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 10th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326070590 | NPPES |
| New York | MEDICAID | 01672999 |
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