Individual
DR. ROBERT JASON SPORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
261 5TH AVE, SUITE 901, NEW YORK, NY 10016-7701
(212) 683-4624
(212) 683-4551
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
254401
NY
207R00000X
Internal Medicine Physician
254401
NY
Other
Enumeration date
05/27/2009
Last updated
04/04/2019
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