MEDICARE: DR. MERLE S 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	2084F0202X	Forensic Psychiatry Physician	158682	NY

General Provider Information

NPI Number	:	1801129713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERLE S ROBINSON M.D.

Provider Business Mailing Address
First Line	:	210 E 15TH ST
Second Line	:	11E
City	:	NEW YORK
State	:	NY
Zip	:	10003-3922
Country	:	US
Telephone Number	:	212-614-3288
Fax Number	:	212-614-3288

Provider Business Practice Location Address
First Line	:	210 E 15TH ST
Second Line	:	11E
City	:	NEW YORK
State	:	NY
Zip	:	10003-3922
Country	:	US
Telephone Number	:	212-614-3288
Fax Number	:	212-614-3288

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

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	09/09/2009

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