Provider Demographics
NPI:1962516237
Name:PINCUS, ROBERT L (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:PINCUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36A EAST 36TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-889-8575
Mailing Address - Fax:212-686-3292
Practice Address - Street 1:36A EAST 36TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-889-8575
Practice Address - Fax:212-686-3292
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2008-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY138585207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC06809Medicare UPIN
NY21D711Medicare ID - Type Unspecified