Provider Demographics
NPI:1669554721
Name:ROBERT B. RHO, M.D., P.C.
Entity type:Organization
Organization Name:ROBERT B. RHO, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BOSUN
Authorized Official - Last Name:RHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-888-0018
Mailing Address - Street 1:3701 MAIN ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4160
Mailing Address - Country:US
Mailing Address - Phone:718-888-0018
Mailing Address - Fax:718-504-4006
Practice Address - Street 1:3701 MAIN ST
Practice Address - Street 2:SUITE 500
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4160
Practice Address - Country:US
Practice Address - Phone:718-888-0018
Practice Address - Fax:718-504-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187399207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01366307Medicaid
NY187399OtherLICENSE NUMBER
NY187399OtherLICENSE NUMBER
F42927Medicare UPIN