Healthcare Provider Details

I. General information

NPI: 1669891677
Provider Name (Legal Business Name): ROBIN WARNER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN PETRIZZO DO

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 E 41ST ST FL 14
NEW YORK NY
10017-6244
US

IV. Provider business mailing address

18 E 41ST ST FL 14
NEW YORK NY
10017-6244
US

V. Phone/Fax

Practice location:
  • Phone: 201-719-5910
  • Fax: 682-255-1158
Mailing address:
  • Phone: 201-719-5910
  • Fax: 682-255-1158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number284403
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: