MEDICARE: DR. SANDRA A ROBINSON M.D.

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	207R00000X	Internal Medicine Physician	210441	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366528812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA A ROBINSON M.D.

Provider Business Mailing Address
First Line	:	219 02 LINDEN BLVD.
Second Line	:
City	:	CAMBRIA HEIGHTS
State	:	NY
Zip	:	11411-1206
Country	:	US
Telephone Number	:	718-527-2850
Fax Number	:	718-977-1089

Provider Business Practice Location Address
First Line	:	21902 LINDEN BLVD
Second Line	:
City	:	CAMBRIA HEIGHTS
State	:	NY
Zip	:	11411-1619
Country	:	US
Telephone Number	:	718-527-2850
Fax Number	:	718-977-1089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/26/2010

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