Parke, Robert G

Parke, Robert G is an individual health care provider with primary practice located at 4101 Medical Center Dr , Fayetteville NY 13066-6610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Parke, Robert G can be contacted via phone (315) 637-7878.

Contact Information

Primary practice address
4101 Medical Center Dr Fayetteville NY 13066-6610
Phone: (315) 637-7878
Fax: (315) 329-7825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 126077 New York

Profile Details

NPI number 1255392270
LBN Legal business name Parke, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 23rd, 2011 - about 14 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 1255392270 NPPES
New York MEDICAID 00561293

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