National Provider Identifier

Robert Anderson, MD

Robert Anderson, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Penn Yan, NY and a listed phone number of (315) 536-0086.

NPI 1255586400Penn Yan, NYFamily Medicine Physician

Profile Overview

NPI
1255586400
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
December 01, 2008
Last Updated
October 21, 2011

Practice Location

  • 1930 Pre Emption RD
  • Penn Yan, NY 14527-9641

Phone: (315) 536-0086

Specialties

  • Family Medicine Physician (207Q00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1255586400
Entity Type
Individual
Last Name
Anderson
First Name
Robert
Credential
MD
Mailing Street Address
1930 Pre Emption RD
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-9641
Mailing Country
US
Mailing Phone
(315) 536-0086
Practice Street Address
1930 Pre Emption RD
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-9641
Practice Country
US
Practice Phone
(315) 536-0086
Enumeration Date
December 01, 2008
Last Updated
October 21, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)