Provider Demographics
NPI:1043239445
Name:KNAPP, ROBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:199 PARRISH ST
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1788
Mailing Address - Country:US
Mailing Address - Phone:585-394-6811
Mailing Address - Fax:585-394-7497
Practice Address - Street 1:199 PARRISH ST
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1726
Practice Address - Country:US
Practice Address - Phone:585-394-6811
Practice Address - Fax:585-394-7497
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1617322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00958049Medicaid
NY10347DMedicare PIN
NY00958049Medicaid