MEDICARE: ROBYN CROUTCH D C P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X010011-1	NY

General Provider Information

NPI Number	:	1063740215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBYN CROUTCH D C P C

Provider Business Mailing Address
First Line	:	8 HAVEN AVE STE 223
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-3636
Country	:	US
Telephone Number	:	516-754-7118
Fax Number	:	516-944-9644

Provider Business Practice Location Address
First Line	:	8 HAVEN AVE STE 223
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-3636
Country	:	US
Telephone Number	:	516-754-7118
Fax Number	:	516-944-9644

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBYN P CROUTCH
Credential	:	D.C.
Telephone Number	:	516-944-4469

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	08/17/2025

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