Healthcare Provider Details

I. General information

NPI: 1629904404
Provider Name (Legal Business Name): THAMISIS M. M RODRIGUEZ ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 E 178TH ST
BRONX NY
10453-4931
US

IV. Provider business mailing address

156 E 178TH ST
BRONX NY
10453-4931
US

V. Phone/Fax

Practice location:
  • Phone: 347-605-5194
  • Fax:
Mailing address:
  • Phone: 347-605-5194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: