Provider Demographics
NPI:1114100815
Name:ROBERT APPEL, MD
Entity Type:Organization
Organization Name:ROBERT APPEL, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:APPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-676-0210
Mailing Address - Street 1:34 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2111
Mailing Address - Country:US
Mailing Address - Phone:516-676-0210
Mailing Address - Fax:516-759-3307
Practice Address - Street 1:34 FOREST AVE
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2111
Practice Address - Country:US
Practice Address - Phone:516-676-0210
Practice Address - Fax:516-759-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153123332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00823134Medicaid
NYB72825Medicare UPIN
NY87A101Medicare PIN
NY00823134Medicaid