Healthcare Provider Details

I. General information

NPI: 1821056631
Provider Name (Legal Business Name): ROBIN YIRINEC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 SULLYS TRAIL
PITTSFORD NY
14534
US

IV. Provider business mailing address

100 KINGS HWY S
ROCHESTER NY
14617-5504
US

V. Phone/Fax

Practice location:
  • Phone: 585-248-5300
  • Fax: 585-248-3427
Mailing address:
  • Phone: 585-922-0460
  • Fax: 585-922-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number180964
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: