Provider Demographics
NPI:1861634198
Name:RONALD K COBBS, MD, PC
Entity Type:Organization
Organization Name:RONALD K COBBS, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:COBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-348-9400
Mailing Address - Street 1:1787 MADISON AVE
Mailing Address - Street 2:SUITE 50C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4518
Mailing Address - Country:US
Mailing Address - Phone:212-348-9400
Mailing Address - Fax:242-348-9405
Practice Address - Street 1:50C EAST 118TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035
Practice Address - Country:US
Practice Address - Phone:212-348-9400
Practice Address - Fax:242-348-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152516207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty