Individual
ROBERT PHILIP FAVELUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 W 116TH ST APT 41, NEW YORK, NY 10027-7242
(917) 373-7459
Mailing address
438 W 116TH ST APT 41, NEW YORK, NY 10027-7242
(917) 373-7459
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
253620
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2009
Last updated
06/23/2009
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