Provider Demographics
NPI:1497921514
Name:NEAL, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:NEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3800 INDEPENDENCE AVE
Mailing Address - Street 2:APT 3E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1433
Mailing Address - Country:US
Mailing Address - Phone:718-601-4013
Mailing Address - Fax:
Practice Address - Street 1:3800 INDEPENDENCE AVE
Practice Address - Street 2:APT 3E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1433
Practice Address - Country:US
Practice Address - Phone:718-601-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1224002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry