Healthcare Provider Details

I. General information

NPI: 1467484873
Provider Name (Legal Business Name): ROBIN MARIE HINSON P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3384 STATE ROUTE 22
PERU NY
12972-5305
US

IV. Provider business mailing address

1167 HARDSCRABBLE RD
CADYVILLE NY
12918-1908
US

V. Phone/Fax

Practice location:
  • Phone: 518-643-8008
  • Fax: 518-643-8090
Mailing address:
  • Phone: 518-293-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number006858-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: