MEDICARE: DR. DAVID BRUCE ROBBINS MD

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	2084P0800X	Psychiatry Physician	086234	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BCBS	OTHER		441571
2	134231	OTHER		VBA

General Provider Information

NPI Number	:	1457326167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BRUCE ROBBINS MD

Provider Business Mailing Address
First Line	:	33 ALDRIDGE RD
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3401
Country	:	US
Telephone Number	:	914-238-8324
Fax Number	:	914-238-2742

Provider Business Practice Location Address
First Line	:	33 ALDRIDGE RD
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3401
Country	:	US
Telephone Number	:	914-238-8324
Fax Number	:	914-238-2742

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	03/01/2010

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