Provider Demographics
NPI:1972650976
Name:ROBBI KEMPNER, M.D. F.A.C.S., P.C.
Entity Type:Organization
Organization Name:ROBBI KEMPNER, M.D. F.A.C.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBBI
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-744-4666
Mailing Address - Street 1:115 E 67TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5951
Mailing Address - Country:US
Mailing Address - Phone:212-744-4666
Mailing Address - Fax:212-744-4566
Practice Address - Street 1:115 E 67TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5951
Practice Address - Country:US
Practice Address - Phone:212-744-4666
Practice Address - Fax:212-744-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1465371208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY48D851Medicare PIN
NYB15197Medicare UPIN