Provider Demographics
NPI:1477508117
Name:ROBB, JOHN R (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:R
Last Name:ROBB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:99 CANAL LANDING BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5112
Mailing Address - Country:US
Mailing Address - Phone:585-225-9190
Mailing Address - Fax:585-225-7490
Practice Address - Street 1:99 CANAL LANDING BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5112
Practice Address - Country:US
Practice Address - Phone:585-225-9190
Practice Address - Fax:585-225-7490
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2011-02-10
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Provider Licenses
StateLicense IDTaxonomies
NY148427207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0493076OtherINDEPENDENT HEALTH
NY100958BJOtherPREFERRED CARE
NY050806000039OtherFIDELIS CARE
NY148427-8WOtherWORKERS COMP
NYJ300013041OtherMEDICARE
NY00027210401OtherUNIVERA
NY7234OtherSIDNEY HILLMAN
NYP010148427OtherBLUE CHOICE
D01753Medicare UPIN