Provider Demographics
NPI:1215085881
Name:MARCH, ROBERT E (CN)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:MARCH
Suffix:
Gender:M
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-2318
Mailing Address - Country:US
Mailing Address - Phone:516-599-1572
Mailing Address - Fax:
Practice Address - Street 1:48 OXFORD RD
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-2318
Practice Address - Country:US
Practice Address - Phone:516-599-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3904133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS01031Medicare ID - Type UnspecifiedDIETICIAN