Fafalak, Robert G

Fafalak, Robert G is an sole proprietor health care provider with primary practice located at 4 Lexington Ave 1S, New York NY 10010-5416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fafalak, Robert G can be contacted via phone (212) 533-2760.

Contact Information

Primary practice address
4 Lexington Ave 1S New York NY 10010-5416
Fax: (212) 387-9143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 175702 New York

Profile Details

NPI number 1982683041
LBN Legal business name Fafalak, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Mar 1st, 2012 - about 13 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 1982683041 NPPES
New York MEDICAID 01194027

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