Healthcare Provider Details

I. General information

NPI: 1730119769
Provider Name (Legal Business Name): KAREN A. ROBINSON DC,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 RIDGE RD
LYNDHURST NJ
07071-3215
US

IV. Provider business mailing address

747 RIDGE RD
LYNDHURST NJ
07071-3215
US

V. Phone/Fax

Practice location:
  • Phone: 201-460-9010
  • Fax: 201-460-7422
Mailing address:
  • Phone: 201-460-9010
  • Fax: 201-460-7422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MCOO235300
License Number StateNJ

VIII. Authorized Official

Name: KAREN ROBINSON
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 201-460-9010