# CALVIN W ROBERTS MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528276748
- **Authorized official:** LANA DERMAN (BILLING MANAGER)
- **Authorized official phone:** (718) 283-7999

## Contact information

- **Practice address:** 876 PARK AVE, NEW YORK, NY 10021-1832
- **Practice address phone:** (212) 734-7788
- **Mailing address:** 876 PARK AVE, NEW YORK, NY 10021-1832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2007
- **Last updated:** 08/22/2020
