Provider Demographics
NPI:1235273491
Name:CAMPION, ROBERT EMMET (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EMMET
Last Name:CAMPION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:211 W 56TH ST
Mailing Address - Street 2:SUITE 18M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4312
Mailing Address - Country:US
Mailing Address - Phone:212-245-9112
Mailing Address - Fax:212-245-9142
Practice Address - Street 1:211 W 56TH ST
Practice Address - Street 2:SUITE 18M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4312
Practice Address - Country:US
Practice Address - Phone:212-245-9112
Practice Address - Fax:212-245-9142
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1291702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO8616Medicare UPIN
351431Medicare ID - Type Unspecified