Individual
DR. ROBERT TRAIL HORN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 N TRIPHAMMER RD, STE 203, ITHACA, NY 14850-1082
(607) 257-1107
(607) 257-1867
Mailing address
12 BOLTON POINT RD, ITHACA, NY 14850-9778
(607) 273-5690
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
120622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781571
—
NY
Enumeration date
12/15/2005
Last updated
07/08/2007
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