Provider Demographics
NPI:1548597156
Name:TROBLIGER, ROBERT WILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:TROBLIGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 2ND AVE
Mailing Address - Street 2:UNIT 6C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4502
Mailing Address - Country:US
Mailing Address - Phone:212-661-7460
Mailing Address - Fax:
Practice Address - Street 1:820 2ND AVE
Practice Address - Street 2:UNIT 6C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4502
Practice Address - Country:US
Practice Address - Phone:212-661-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68 018157103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist