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Individual

MR. ROBERT E MOLLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3066 35TH ST, ASTORIA, NY 11103-4702
(718) 278-1919
(718) 278-7516
Mailing address
3066 35TH ST, ASTORIA, NY 11103-4702
(718) 278-1919
(718) 278-7516

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
096186
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01689436
NY
01
905022
BC
01
DS518
OXFORD
Enumeration date
10/10/2005
Last updated
03/16/2016
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