Healthcare Provider Details

I. General information

NPI: 1346931656
Provider Name (Legal Business Name): SARA ROBINSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MADISON AVE FL 5
NEW YORK NY
10010-1600
US

IV. Provider business mailing address

60 MADISON AVE FL 5
NEW YORK NY
10010-1600
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-1293
  • Fax: 718-960-2055
Mailing address:
  • Phone: 212-545-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number119449
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: