Healthcare Provider Details

I. General information

NPI: 1467553347
Provider Name (Legal Business Name): ROBIN C AFTUCK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 W MAIN ST
CUBA NY
14727-1317
US

IV. Provider business mailing address

135 N UNION ST
OLEAN NY
14760-2736
US

V. Phone/Fax

Practice location:
  • Phone: 716-375-7500
  • Fax: 716-701-6888
Mailing address:
  • Phone: 716-375-7500
  • Fax: 716-701-6853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF420675-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF001091-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: