Individual
ROBERT L. EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
Mailing address
PO BOX 1766, 165 OAK STREET, PLATTSBURGH, NY 12901-0240
(518) 852-9871
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200611-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01583619
—
NY
Enumeration date
06/14/2005
Last updated
07/08/2007
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