Individual
DR. ROBERT DOUENIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-8000
(570) 887-6803
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
178316-1
NY
208800000X
Urology Physician
MD059201L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012975600001
—
PA
05
—
01350774
—
NY
01
—
340018205
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
PA
01
—
GU039858
MEDICARE GROUP
PA
Enumeration date
02/23/2006
Last updated
03/10/2021
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