Douglas, Robert Lewis

Douglas, Robert Lewis is an individual health care provider with primary practice located at 210 E Main St , Middletown NY 10940-4038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Douglas, Robert Lewis can be contacted via phone (845) 342-5681.

Contact Information

Primary practice address
210 E Main St Middletown NY 10940-4038
Phone: (845) 342-5681
Fax: (845) 342-0470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 109172 1 New York

Profile Details

NPI number 1003861501
LBN Legal business name Douglas, Robert Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 24th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003861501 NPPES
New York MEDICAID 0257841
New York Other 110043387

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