National Provider Identifier

Robert Lewis Macomber, PA

Robert Lewis Macomber, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Clifton Springs, NY and a listed phone number of (315) 462-1465.

NPI 1245434620Clifton Springs, NYPhysician Assistant

Profile Overview

NPI
1245434620
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 12, 2007
Last Updated
July 08, 2007

Practice Location

  • 2 Coulter RD
  • Clifton Springs, NY 14432-1122

Phone: (315) 462-1465

Mailing Address

  • 1734 County House RD
  • Waterloo, NY 13165-8486

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1245434620
Entity Type
Individual
Last Name
Macomber
First Name
Robert
Middle Name
Lewis
Credential
PA
Mailing Street Address
1734 County House RD
Mailing City
Waterloo
Mailing State
NY
Mailing ZIP Code
13165-8486
Mailing Country
US
Practice Street Address
2 Coulter RD
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1122
Practice Country
US
Practice Phone
(315) 462-1465
Enumeration Date
June 12, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)