MEDICARE: MR. KEITH B ROBINSON FNP

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
1	363LF0000X	Family Nurse Practitioner	335158	NY

General Provider Information

NPI Number	:	1053574186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEITH B ROBINSON FNP

Provider Business Mailing Address
First Line	:	357 W 115TH ST
Second Line	:	APT 33
City	:	NEW YORK
State	:	NY
Zip	:	10026-2612
Country	:	US
Telephone Number	:	212-865-6820
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 W 133RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-2702
Country	:	US
Telephone Number	:	646-762-4950
Fax Number	:	646-762-4953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	02/15/2023

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