Healthcare Provider Details

I. General information

NPI: 1093856734
Provider Name (Legal Business Name): ROBYN BETH HAUSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBYN BETH LESSEY

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 EXECUTIVE DR SUITE LL105 AND 108
PLAINVIEW NY
11803-1718
US

IV. Provider business mailing address

133 CHOIR LN
WESTBURY NY
11590-5734
US

V. Phone/Fax

Practice location:
  • Phone: 516-576-2040
  • Fax:
Mailing address:
  • Phone: 516-338-4722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number241980032
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: