Provider Demographics
NPI:1194816561
Name:EXELBERT, ROBERT SETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SETH
Last Name:EXELBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 ALBANY POST RD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-3601
Mailing Address - Country:US
Mailing Address - Phone:845-229-8868
Mailing Address - Fax:845-229-1276
Practice Address - Street 1:4311 ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-3601
Practice Address - Country:US
Practice Address - Phone:845-229-8868
Practice Address - Fax:845-229-1276
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY915107OtherACN
NY0030711OtherGHI
NY9155107OtherUNITED HEALTHCARE
NY50119OtherPRISM
NYP402988OtherOXFORD
NY10025591OtherCDPHP
NY1C8656OtherHEALTHNET
NY5898349OtherGHI PPO
NY93783OtherMVP
NYX14861OtherBC/BS BLUECHOICE
NY5898349OtherGHI PPO
NYP402988OtherOXFORD