Provider Demographics
NPI:1639136401
Name:MILLS, ROBERT CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CURTIS
Last Name:MILLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-0725
Mailing Address - Country:US
Mailing Address - Phone:518-568-3403
Mailing Address - Fax:518-568-3216
Practice Address - Street 1:8 PARK PL
Practice Address - Street 2:
Practice Address - City:ST JOHNSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13452-1332
Practice Address - Country:US
Practice Address - Phone:518-568-3403
Practice Address - Fax:518-568-3216
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137718207R00000X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00732614Medicaid
NYC59218Medicare UPIN
NY00732614Medicaid