Individual
DR. ROBERT B FATH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 HEATHCOTE RD, SCARSDALE, NY 10583-4523
(914) 723-8100
(914) 219-1928
Mailing address
550 MAMARONECK AVE, SUITE 302, HARRISON, NY 10528-1634
(914) 723-8100
(914) 219-1928
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
139040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00767097
—
NY
01
—
11092405
MEDICARE RAILROAD
NY
01
—
137403
ONE HEALTH PLAN
NY
01
—
487207
UNITED HEALTH CARE
NY
01
—
WP484
OXFORD HEALTH PLANS
NY
Enumeration date
09/20/2006
Last updated
02/10/2016
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