Moldwin, Robert M
Moldwin, Robert M is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Moldwin, Robert M can be contacted via phone (718) 470-7334.Contact Information
Primary practice address
27005 76Th Ave
New Hyde Park NY 11040-1433
Phone: (718) 470-7334
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 2088F0040X | 169519 | New York |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 169519 | New York |
Profile Details
NPI number | 1275503021 |
---|---|
LBN Legal business name | Moldwin, Robert M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Jun 26th, 2024 - about 6 months 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 | 1275503021 | NPPES |
New York | MEDICAID | 01234757 |
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