Provider Demographics
NPI:1821230103
Name:ROBERT TOWNER, M.D
Entity Type:Organization
Organization Name:ROBERT TOWNER, M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-743-7090
Mailing Address - Street 1:357 E 57TH ST
Mailing Address - Street 2:SUITE 17D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2907
Mailing Address - Country:US
Mailing Address - Phone:718-743-7090
Mailing Address - Fax:
Practice Address - Street 1:357 E 57TH ST
Practice Address - Street 2:SUITE 17D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2907
Practice Address - Country:US
Practice Address - Phone:718-743-7090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01807441Medicaid
NY71K491Medicare PIN
NYF32887Medicare UPIN
NY00575Medicare PIN