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NPI Code Detail

MEDICARE: DESIREE ROBINSON

MEDICARE: DESIREE ROBINSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01780100NJ
2225100000XPhysical Therapist045032NY
3225100000XPhysical Therapist14.013472CT

General Provider Information

NPI Number : 1053256834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE ROBINSON
Provider Business Mailing Address
First Line : 17 GRAFTON ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06513-3225
Country : US
Telephone Number : 480-375-0064
Fax Number : 480-375-0064
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-2870
Country : US
Telephone Number : 203-384-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ DESIREE ROBINSON ” Practice Location

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