Provider Demographics
NPI:1568455533
Name:KASLOVSKY, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:KASLOVSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:47 NEW SCOTLAND AVE
Mailing Address - Street 2:MC 88
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3412
Mailing Address - Country:US
Mailing Address - Phone:518-262-6880
Mailing Address - Fax:518-262-6884
Practice Address - Street 1:47 NEW SCOTLAND AVE
Practice Address - Street 2:MC 88
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-6880
Practice Address - Fax:518-262-6884
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY150449-12080P0214X
MA2388742080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01044540Medicaid
NY01044540Medicaid
NYB82942Medicare UPIN