Provider Demographics
NPI:1750348454
Name:KALB, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:KALB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5782
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:325 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-630-1102
Practice Address - Fax:716-633-6507
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157234-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0021748OtherGHI
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherEMPIRE
NY000510069003OtherHEALTH NOW
NY01098764Medicaid
NY00010086601OtherUNIVERA
NY0302553OtherIHA
NY070003323OtherRR MEDICARE
NY161000580OtherEMPIRE
NYE15428Medicare UPIN