| Doctor Name: | ROBERT JOSEPH WESCOTT |
| NPI Number: | 1083613566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPA |
| License Number: | 007045 |
| Business Practice Address: | 36 Lincoln Ave Rockville Centre, NY - 115705768 |
| Business Phone Number: | 5165362800 |
| Business Fax Number: | 5163028182 |
| Mailing Address: | 165 N Village Ave, Suite 128 ROCKVILLE CENTRE |
| State: | NY |
| Postal Code: | 115703761 |
| Phone Number: | 5163028180 |
| Fax Number: | 5163028182 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 007045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |