National Provider Identifier
Robert Trail Horn Jr., MD
Robert Trail Horn Jr., MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Ithaca, NY and a listed phone number of (607) 257-1107.
Profile Overview
- NPI
- 1922083641
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- December 15, 2005
- Last Updated
- July 08, 2007
Practice Location
- 2333 N Triphammer RD
- Ste 203
- Ithaca, NY 14850-1082
Phone: (607) 257-1107
Mailing Address
- 12 Bolton Point RD
- Ithaca, NY 14850-9778
Specialties
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1922083641
- Entity Type
- Individual
- Last Name
- Horn
- First Name
- Robert
- Middle Name
- Trail
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- MD
- Mailing Street Address
- 12 Bolton Point RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9778
- Mailing Country
- US
- Mailing Phone
- (607) 273-5690
- Practice Street Address
- 2333 N Triphammer RD
- Practice Address Line 2
- Ste 203
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1082
- Practice Country
- US
- Practice Phone
- (607) 257-1107
- Practice Fax
- (607) 257-1867
- Enumeration Date
- December 15, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X)
- Other Identifiers
- 00781571 (NY)