Provider Demographics
NPI:1265522064
Name:OSTFELD, ROBERT J (MD, MS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:OSTFELD
Suffix:
Gender:M
Credentials:MD, MS
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Other - First Name:
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Mailing Address - Street 1:160 RIVERSIDE BLVD
Mailing Address - Street 2:APT. 10J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0701
Mailing Address - Country:US
Mailing Address - Phone:718-920-5197
Mailing Address - Fax:718-231-6257
Practice Address - Street 1:MMC - DEPT. OF MEDICINE
Practice Address - Street 2:3400 BAINBRIDGE AVENUE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-5197
Practice Address - Fax:718-231-6257
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY227973207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease