Provider Demographics
NPI:1124284740
Name:ROBERT A. ALDOROTY, MD, PHD, PLLC
Entity type:Organization
Organization Name:ROBERT A. ALDOROTY, MD, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:ALDOROTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:212-426-9614
Mailing Address - Street 1:1974 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6430
Mailing Address - Country:US
Mailing Address - Phone:212-426-9614
Mailing Address - Fax:212-535-4515
Practice Address - Street 1:1974 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6430
Practice Address - Country:US
Practice Address - Phone:212-426-9614
Practice Address - Fax:212-535-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-03
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165181208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty