Provider Demographics
NPI:1407648934
Name:WASHINGTON, ROBERT R
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-1237
Mailing Address - Country:US
Mailing Address - Phone:518-650-2625
Mailing Address - Fax:
Practice Address - Street 1:820 RIVER ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-1237
Practice Address - Country:US
Practice Address - Phone:518-650-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist