Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 038253 | NY |
NPI | 1265605828 |
---|---|
Provider Name | Dr. Robert C Rawdin |
First Address | New York, NY 10019-3949 |
Second Address | New York, NY 10019-3949 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2008 |
Last Update Date | 09/04/2018 |