RICHARD C ROBERTSON (NPI# 1376636829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376636829 |
| Entity Type | Individual |
| Full Name | RICHARD C ROBERTSON |
| Credential | P.A. |
| Practice Address |
25 Willowbrook Rd Suite 2 Queensbury NY 12804-5882 |
| Practice Telephone | 5187939156 |
| Practice Fax Number | 5187936591 |
| Mailing Telephone | 5187939156 |
| Mailing Fax Number | 5187936591 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 004252 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004252 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01540165 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124329651 | Richard Byron Robertson | Pharmacist | 2330 Nez Perce Dr, Lewiston, ID 83501-4107 | 2010-11-15 |
| 1467573022 | Richard James Robertson | Psychologist | 1352 Sanford Ln, Glenview, IL 60025-3165 | 2007-04-02 |
| 1346322179 | Richard Andrew Robertson | Anesthesiology | 2400 North Park, Suite 20, Columbus, IN 47203-4467 | 2006-10-20 |
| 1700866308 | Richard Clyde Robertson | Dentist | 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 | 2006-01-19 |
| 1093376444 | Richard Robertson | Behavior Technician | 9351 W Broad St, Henrico, VA 23294-5437 | 2019-06-26 |
| 1053756965 | Richard Covey Robertson Jr. | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2013-05-06 |
| 1962588871 | Richard L Robertson Jr. | Radiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-10-31 |
| 1528080942 | Richard Edward Robertson | Social Worker | 6000 W Highway 98, Code 37, Pensacola, FL 32512-0001 | 2006-07-24 |
| 1245259563 | Richard Robertson | Physician Assistant | 810 Valley View Blvd, Altoona, PA 16602-6342 | 2006-07-18 |
| 1912988908 | Richard H Robertson | Internal Medicine | 201 Cashua St, Darlington, SC 29532-3301 | 2005-11-08 |
| Street Address |
25 WILLOWBROOK RD SUITE 2 |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-5882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018452 | Melissa Gail Cotton | Physician Assistant | 25 Willowbrook Rd, Suite 2, Queensbury, NY 12804-5882 | 2005-10-27 |
| 1073875282 | Adirondack Radiology Associates, PC | Radiology | 25 Willowbrook Rd, Queensbury, NY 12804-5882 | 2012-06-13 |
| 1720220437 | Tammy Monroe | Audiologist | 25 Willowbrook Rd, Suite 1, Queensbury, NY 12804-5882 | 2009-03-26 |
| 1578705299 | Deborah J. Backus | Audiologist | 25 Willowbrook Rd, Suite 1, Queensbury, NY 12804-5882 | 2009-03-26 |
| 1821230541 | Lisa M Cox | Physical Therapist | 25 Willowbrook Rd, Suite 1, Queensbury, NY 12804-5882 | 2009-03-26 |
| 1417199142 | Mieka Leclair-lundy | Speech-Language Pathologist | 25 Willowbrook Rd, Suite1, Queensbury, NY 12804-5882 | 2009-03-26 |
| 1790927408 | Sharon Luckenbaugh | Speech-Language Pathologist | 25 Willowbrook Rd, Suite 1, Queensbury, NY 12804-5882 | 2009-03-26 |
| 1063456267 | James A. Strafford Jr. | Physician Assistant | 25 Willowbrook Rd, Queensbury, NY 12804-5882 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018452 | Melissa Gail Cotton | Physician Assistant | 25 Willowbrook Rd, Suite 2, Queensbury, NY 12804-5882 | 2005-10-27 |
| 1922177294 | James G Todt | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-08 |
| 1942379227 | Patrick F Mcdermott | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-08 |
| 1386600591 | David J Paska | Physician Assistant | 543 Bay Rd, Queensbury, NY 12804-1441 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on RICHARD C ROBERTSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.