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Individual

DR. ROBERT M MOLDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7334
Mailing address
175 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-1900
(516) 465-1830

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
169519
NY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
169519
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01234757
NY
Enumeration date
01/25/2006
Last updated
06/26/2024
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