ROBERT C WARNER JR. MD NPI 1639115124

NPI Information

  • NPI: 1639115124
  • Provider Name: ROBERT C WARNER, JR., MD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 242 E STATE ST EXT
    GLOVERSVILLE, NY
    ZIP 12078
  • Phone: (518) 725-2227

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NPI Details

ROBERT C WARNER, JR., MD is a specialist in Gloversville, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROBERT C WARNER, JR., MD NPI is 1639115124. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

242 E STATE ST EXT
GLOVERSVILLE, NY
ZIP 12078-039
Phone: (518) 725-2227
Fax: (518) 725-2252

The provider's authorized official is Robert Charles Warner .
The authorized official title is Owner and has the following contact phone number (518) 725-2227.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 1/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist142633NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C59389MEDICARE UPIN
2IA0660MEDICARE PIN
30000401408002OTHERNEW YORKBLUE SHIELD NENY
410002138OTHERNEW YORKCDPHP HEALTHPLAN
511160OTHERNEW YORKMOHAWK VALLEY PHYSICIANS
600365480MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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