Individual
DR. ROBERT LITTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2410 RIDGEWAY AVE, ROCHESTER, NY 14626-4114
(585) 723-2845
(585) 723-6877
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
144014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00619907
—
NY
01
—
P00070292
RR MEDICARE
NY
Enumeration date
03/28/2006
Last updated
10/18/2024
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