Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 210355-1 | NY |
NPI | 1013984723 |
---|---|
Provider Name | Dr. Robert K Druger |
First Address | Camillus, NY 13031-1324 |
Second Address | Camillus, NY 13031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 04/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01856615 | (05) | NY |
G78802 | (02) | NY |