Dr Robert A Vaneenwyk, DDS is a
Dentist - General Practice based in Bergen, New York. Dr Robert A Vaneenwyk is licensed to practice in New York (license number 033242) and his current practice location is
26 S Lake Ave, Bergen, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 494-1145.
NPI number for Dr Robert A Vaneenwyk is 1154478253 and his current mailing address is 26 S Lake Ave, Bergen, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154478253.
Healthcare Provider's Profile
| Full Name | Dr Robert A Vaneenwyk |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 26 S Lake Ave, Bergen, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154478253
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert A Vaneenwyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154478253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 033242 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert A Vaneenwyk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert A Vaneenwyk, DDS
26 S Lake Ave,
Bergen, NY 14416-9734
Ph: (585) 494-1145 | Dr Robert A Vaneenwyk, DDS
26 S Lake Ave,
Bergen, NY 14416-9734
Ph: (585) 494-1145 |
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