Provider Demographics
NPI:1275698813
Name:DR. ROBERT L DUFFY PODIATRY, PC
Entity Type:Organization
Organization Name:DR. ROBERT L DUFFY PODIATRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-761-8525
Mailing Address - Street 1:122 W POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-2937
Mailing Address - Country:US
Mailing Address - Phone:914-761-8525
Mailing Address - Fax:914-682-4026
Practice Address - Street 1:122 W POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-2937
Practice Address - Country:US
Practice Address - Phone:914-761-8525
Practice Address - Fax:914-682-4026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004076213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty