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NPI Code Detail

MEDICARE: MS. BLYTHE ROBBINS LMSW

MEDICARE: MS. BLYTHE ROBBINS LMSW
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
11041C0700XClinical Social Worker123998-01NY

General Provider Information

NPI Number : 1750104394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BLYTHE ROBBINS LMSW
Provider Business Mailing Address
First Line : 17 PIERMONT PL
Second Line :
City : PIERMONT
State : NY
Zip : 10968-1105
Country : US
Telephone Number : 415-254-3486
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHASE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4156
Country : US
Telephone Number : 914-901-3520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 11/04/2024

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