Individual
DR. ROBERT G FAFALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 LEXINGTON AVE, 1S, NEW YORK, NY 10010-5416
(212) 533-2760
(212) 387-9143
Mailing address
36 WEST 9TH ST, FIRST FLOOR, NEW YORK, NY 10011
(917) 364-9398
(212) 452-1981
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
175702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194027
—
NY
Enumeration date
01/17/2006
Last updated
03/01/2012
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