=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326108317
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROBBINS, STECHEL & CUNNINGHAM, LLP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 06/10/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 NORTHERN BLVD SUITE 120
-----------------------------------------------------
City | GREAT NECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11021-5312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-466-8900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 NORTHERN BLVD SUITE 120
-----------------------------------------------------
City | GREAT NECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11021-5312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-466-8900
-----------------------------------------------------
Fax | 516-482-1808
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | ANNA M CAPUTO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-466-8900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------