Healthcare Provider Details

I. General information

NPI: 1104815109
Provider Name (Legal Business Name): HERBERT ROBBINS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 CENTRAL PARK W #4D
NEW YORK NY
10025-5860
US

IV. Provider business mailing address

392 CENTRAL PARK W #4D
NEW YORK NY
10025-5860
US

V. Phone/Fax

Practice location:
  • Phone: 212-866-9263
  • Fax: 212-866-6678
Mailing address:
  • Phone: 212-866-9263
  • Fax: 212-866-6678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number002977
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: