Individual
DR. ROBERT J ANCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
84 FRONT ST, BROOKLYN, NY 11201-1004
(718) 422-7800
(718) 422-7887
Mailing address
84 FRONT ST, BROOKLYN, NY 11201-1004
(718) 422-7800
(718) 422-7887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT 005837
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV005837-1
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT 005837
NY
152WL0500X
Low Vision Rehabilitation Optometrist
VUT 005837
NY
152WP0200X
Pediatric Optometrist
VUT 005837
NY
152WS0006X
Sports Vision Optometrist
VUT 005837
NY
152WV0400X
Vision Therapy Optometrist
VUT 005837
NY
152WX0102X
Occupational Vision Optometrist
VUT005837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956312
—
NY
Enumeration date
01/11/2006
Last updated
09/15/2009
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