Robert Sung Butler
Specialist in Manhasset, NY. Individual provider (NPI-1).
NPI number1861009367
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1861009367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Sung Butler
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | NY | Yes |
Practice location
51 Clapham AveManhasset, NY 11030-3117
Phone 516-627-2711
Mailing address
18 Vanderbilt DrGreat Neck, NY 11020-1117
Phone 516-780-3103
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