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Individual

DR. ROBERT GARY JOSEPHBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
984 NORTH BROADWAY, SUITE 511, YONKERS, NY 10701-1308
(914) 965-2526
(914) 965-2527
Mailing address
11 TANGLEWOOD CIR, BRIARCLIFF MANOR, NY 10510-2551
(914) 923-2392
(914) 965-2527

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
134320
NY
174400000X
Specialist
33921
NJ
207W00000X
Ophthalmology Physician
134320
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
134320
NY
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
134320
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00887554
NY
05
1038109
NJ
Enumeration date
05/31/2006
Last updated
07/05/2017
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