Eickelberg, Robert Graham

Eickelberg, Robert Graham is an sole proprietor health care provider with primary practice located at 25 Charleston Dr , Amity Harbor NY 11701-4150. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eickelberg, Robert Graham can be contacted via phone (631) 842-0808.

Contact Information

Primary practice address
25 Charleston Dr Amity Harbor NY 11701-4150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 039447 New York

Profile Details

NPI number 1184814170
LBN Legal business name Eickelberg, Robert Graham
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 18 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.

Request for update

Popular Providers