Provider Demographics
NPI:1568529675
Name:CUCIN, ROBERT LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LOUIS
Last Name:CUCIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 S FLAGLER DR
Mailing Address - Street 2:SUITE 607
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7341
Mailing Address - Country:US
Mailing Address - Phone:212-586-9500
Mailing Address - Fax:561-651-7808
Practice Address - Street 1:1701 S FLAGLER DR
Practice Address - Street 2:SUITE 607
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7341
Practice Address - Country:US
Practice Address - Phone:561-651-7816
Practice Address - Fax:561-651-7808
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY114103208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYSAM 7224758OtherWORKMAN'S COMP. NO.
NYSAM 7224758OtherWORKMAN'S COMP. NO.
NYA60140Medicare UPIN