Provider Demographics
NPI:1760487235
Name:POMERANZ, ROBERT M (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:POMERANZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4230 HEMPSTEAD TPKE
Mailing Address - Street 2:STE 208
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5700
Mailing Address - Country:US
Mailing Address - Phone:516-735-5323
Mailing Address - Fax:516-735-8425
Practice Address - Street 1:4230 HEMPSTEAD TPKE
Practice Address - Street 2:STE 208
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5700
Practice Address - Country:US
Practice Address - Phone:516-735-5323
Practice Address - Fax:516-735-8425
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2007-11-02
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Provider Licenses
StateLicense IDTaxonomies
NY181267207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD20989Medicare UPIN
NY68F451Medicare PIN