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Organization

ROBERT C WARNER, JR., MD

Active
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Organization

ROBERT C WARNER, JR., MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT CHARLES WARNER JR. MD (OWNER)
(518) 725-2227
Entity
Organization

Contact information

Practice address
242 E STATE ST EXT, GLOVERSVILLE, NY 12078-6039
(518) 725-2227
(518) 725-2252
Mailing address
242 E STATE ST EXT, GLOVERSVILLE, NY 12078-6039
(518) 725-2227
(518) 725-2252

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
142633
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000401408002
BLUE SHIELD NENY
NY
05
00365480
NY
01
10002138
CDPHP HEALTHPLAN
NY
01
11160
MOHAWK VALLEY PHYSICIANS
NY
Enumeration date
06/21/2006
Last updated
01/22/2008
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