Provider Demographics
NPI:1770516692
Name:HOWARD, ROBERT LAWRENCE (RD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:HOWARD
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W 77TH ST
Mailing Address - Street 2:APT. 41
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5151
Mailing Address - Country:US
Mailing Address - Phone:212-595-8742
Mailing Address - Fax:
Practice Address - Street 1:119 W 57TH ST
Practice Address - Street 2:STE 1207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2400
Practice Address - Country:US
Practice Address - Phone:212-333-4243
Practice Address - Fax:212-333-3468
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000280133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY132845837OtherHORIZON
NYS00201OtherBLUECROSS
NY132845837OtherMULTIPLAN
NY3C6067OtherHEALTHNET
NYP442628OtherOXFORD
NY5156223OtherAETNA
NY8000012OtherGHI
NY132845837OtherBEECHSTREET
NY132845837OtherHUMANA
NY36803OtherWELLCARE
NY4058016002OtherCIGNA
NY516010OtherUSHC
NY1153894OtherUNITED
NY132845837OtherPHCS
NYHR0280OtherATLANTIS
NY000280OtherHIP