Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 122949-1 | NY |
NPI | 1164491841 |
---|---|
Provider Name | Dr. Robert Frost Asbury |
First Address | Rochester, NY 14623-1618 |
Second Address | Rochester, NY 14623-1618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 18/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00454600 | (05) | NY |
B751413 | (02) |