Provider Demographics
NPI:1902030067
Name:ROBERT W EINHORN DPM PC
Entity Type:Organization
Organization Name:ROBERT W EINHORN DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:EINHORN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-741-3338
Mailing Address - Street 1:155 MINEOLA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3920
Mailing Address - Country:US
Mailing Address - Phone:516-741-3338
Mailing Address - Fax:516-741-4601
Practice Address - Street 1:155 MINEOLA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3920
Practice Address - Country:US
Practice Address - Phone:516-741-3338
Practice Address - Fax:516-741-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006284213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100001843Medicare PIN
NY6545490001Medicare NSC