Provider Demographics
NPI:1366449217
Name:READER, ROBERT S (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:READER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:94 N CHATSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1643
Mailing Address - Country:US
Mailing Address - Phone:914-834-9568
Mailing Address - Fax:914-834-5921
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 6E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-8008
Practice Address - Fax:212-263-7581
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2015-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY129232208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY129232OtherNYS LICENSE
NY00483367Medicaid
NY00483367Medicaid
NYA400006685Medicare PIN
NYB12318Medicare UPIN