Robert Michael Addon, ATC
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Suffern, NY
NPI 1013249366 · NPPES record last updated Feb 10, 2010
Key facts
- NPI
- 1013249366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 001178 (NY)
- Practice address
- 49 Viola Rd
Suffern, NY 10901-3228 - Phone
- (845) 590-3829
- Fax
- (845) 357-4947
- NPI assigned
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001178 | NY | MD | Psychoanalyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 001178 | NY | Yes |
Addresses
Primary practice location
49 Viola Rd
Suffern, NY 10901-3228
Mailing address
252 Richard CT
Pomona, NY 10970-2305
Phone (201) 906-1545
Other providers in Suffern, NY
- Laura M. Acheson
- Gabrielle Imani Ackerman-Hadi
- Adames & Adames
- Edwin Adames
- Hannah Adams
- Adina Chesir Psychological Services, PLLC
- Jean Ann Adler
- Administrative Consulting Group Corp
- Advanced Dental Care
- Advanced Laparoscopic Specialists LLC
All providers in Suffern, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.