Robert Jerome Licht in Brooklyn - General Practice
Robert Jerome Licht - NPI 1336269984
Robert Jerome Licht is a General Practice in Brooklyn, New York. Robert Jerome Licht practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Jerome Licht is 1336269984. The last update date is 2007-07-08.
Robert Jerome Licht's current location address is 6410 Veterans Ave, Brooklyn, New York. You can contact this provider via phone number 7182515551 and fax number 7182514425. The mailing address for Robert Jerome Licht is 6410 Veterans Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Jerome Licht |
|---|---|
| Address | 6410 Veterans Ave, Brooklyn, New York |
| Phone Number | 7182515551 |
| Fax Number | 7182514425 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336269984 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6410 Veterans Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112345639 |
| Phone Number | 7182515551 |
| Fax Number | 7182514425 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 029218-1 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 294019 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Jerome Licht by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Jerome Licht has been assigned the NPI (National Provider Identifier) 1336269984. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Robert Jerome Licht is physically located?
The Robert Jerome Licht is physically situated at the following address: 6410 Veterans Ave, Brooklyn, NY, 112345639.
What is the Robert Jerome Licht's specialty and taxonomy code?
The Robert Jerome Licht's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Robert Jerome Licht receive its 1336269984 assignment from the Centers for Medicare & Medicaid Services?
The Robert Jerome Licht was assigned its 1336269984 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date were the details pertaining to Robert Jerome Licht last refreshed?
The information related to the Robert Jerome Licht, including its address, specialty, and other relevant details, was last updated on 2007-07-08.