Healthcare Provider Details

I. General information

NPI: 1831597962
Provider Name (Legal Business Name): CRYSTAL ROBINSON-BURKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2014
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 9TH ST
MCKEESPORT PA
15132-3952
US

IV. Provider business mailing address

3216 STEWART ST
MCKEESPORT PA
15132-5421
US

V. Phone/Fax

Practice location:
  • Phone: 412-422-6800
  • Fax:
Mailing address:
  • Phone: 412-896-3650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

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: