Individual
ROBERT VERBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5421
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, MANAGED CARE DEPT. - 6TH FLOOR, BLUMBERG, BROOKLYN, NY 11203-1809
(718) 604-5469
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6319L1
—
NY
Enumeration date
07/07/2006
Last updated
05/02/2008
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