=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669891677
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBIN WARNER D.O.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2014
-----------------------------------------------------
Last Update Date | 06/23/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 E 39TH ST STE 200
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-0455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-389-9497
-----------------------------------------------------
Fax | 682-255-1158
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8309 161ST AVE
-----------------------------------------------------
City | HOWARD BEACH
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11414-3048
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-440-5903
-----------------------------------------------------
Fax | 682-255-1158
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0008X
-----------------------------------------------------
Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
-----------------------------------------------------
License Number | 284403
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------