Estrada, Roberto
Estrada, Roberto is an sole proprietor health care provider with primary practice located at 111 E 80Th St Suite 1B, New York NY 10075-0334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Estrada, Roberto can be contacted via phone (212) 717-4870.Contact Information
Primary practice address
111 E 80Th St Suite 1B
New York NY 10075-0334
Phone: (212) 717-4870
Fax: (212) 717-4872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 232343 | New York |
Profile Details
| NPI number | 1063506822 |
|---|---|
| LBN Legal business name | Estrada, Roberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Sep 23rd, 2014 - about 10 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 | 1063506822 | NPPES |
| New York | MEDICAID | 02657867 |
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