Provider Demographics
NPI:1689719569
Name:DOWNES, ROBERT J JR (RPH,MPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:DOWNES
Suffix:JR
Gender:M
Credentials:RPH,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 FERNWOOD TER
Mailing Address - Street 2:
Mailing Address - City:STEWART MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5011
Mailing Address - Country:US
Mailing Address - Phone:212-263-7364
Mailing Address - Fax:212-263-7569
Practice Address - Street 1:231 FERNWOOD TER
Practice Address - Street 2:
Practice Address - City:STEWART MANOR
Practice Address - State:NY
Practice Address - Zip Code:11530-5011
Practice Address - Country:US
Practice Address - Phone:212-263-7364
Practice Address - Fax:212-263-7569
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039522OtherPHARMACY LICENSE