Individual
ROBERT IMPASTATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, ANESTHESIA DEPARTMENT, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
166673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01165773
—
NY
Enumeration date
07/05/2005
Last updated
03/09/2015
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