=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336463900
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANGELA ROBINSON MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2010
-----------------------------------------------------
Last Update Date | 10/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 855 E 7TH ST APT 1K
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11230-2235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-673-0022
-----------------------------------------------------
Fax | 844-865-6988
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 302 2ND ST APT 7A
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11215-8507
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-673-0022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 56240
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 294240
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------