Provider Demographics
NPI:1780656009
Name:MCKEE, ROBERT D JR (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:D
Last Name:MCKEE
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 DEEPWATER AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-8208
Mailing Address - Country:US
Mailing Address - Phone:516-795-0185
Mailing Address - Fax:561-797-5057
Practice Address - Street 1:68 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5407
Practice Address - Country:US
Practice Address - Phone:516-825-1112
Practice Address - Fax:516-256-0503
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY44852251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1C2428OtherHEALTHNET PROVIDER NUMBER
NY1C2428OtherHEALTHNET PROVIDER NUMBER