Healthcare Provider Details

I. General information

NPI: 1932206596
Provider Name (Legal Business Name): ROBIN BERTINI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 HERTEL AVE SUITE 330
BUFFALO NY
14207-2341
US

IV. Provider business mailing address

3020 BAILEY AVENUE
BUFFALO NY
14215
US

V. Phone/Fax

Practice location:
  • Phone: 716-834-0282
  • Fax: 716-834-1613
Mailing address:
  • Phone: 716-831-1800
  • Fax: 716-831-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number488669
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: