Healthcare Provider Details

I. General information

NPI: 1629998125
Provider Name (Legal Business Name): BERNADETT ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WINTHROP AVE
NEW ROCHELLE NY
10801-3313
US

IV. Provider business mailing address

110 WINTHROP AVE
NEW ROCHELLE NY
10801-3313
US

V. Phone/Fax

Practice location:
  • Phone: 917-497-4877
  • Fax:
Mailing address:
  • Phone: 917-497-4877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358694
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: