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Contact Information

ROBERT A DRACKER, MD
4811 BUCKLEY RD
LIVERPOOL, NY13088-3676
 Phone: 315-457-3091
 Fax: 315-457-4305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ROBERT A DRACKER · (Male)

NPI Number 1528175361
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 02/28/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 155177
  • NY License # 155177-1
  • NY Medicaid 01555068
  • NY Other 155177-1 MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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