Individual
DR. ROBERT BIERNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18 COURTNEY DR, FAIRPORT, NY 14450-3338
(585) 421-7537
Mailing address
38 WALLING ST, VICTOR, NY 14564-1357
(585) 430-8600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036158913
IL
207P00000X
Emergency Medicine Physician
Primary
224251
NY
208D00000X
General Practice Physician
224251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02355484
—
NY
01
—
224251-9W OPEM
WORKER'S COMPENSATION
NY
Enumeration date
06/23/2006
Last updated
08/28/2024
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