MEDICARE: DR. ASHLEY MAE ROBINSON DRPH, IBCLC, RLC

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	174N00000X	Lactation Consultant (Non-RN)	L-301356	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L-301356	OTHER	VA	INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS

General Provider Information

NPI Number	:	1255927620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY MAE ROBINSON DRPH, IBCLC, RLC

Provider Business Mailing Address
First Line	:	9225 FORT HAMILTON PKWY APT A3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7111
Country	:	US
Telephone Number	:	570-396-2945
Fax Number	:

Provider Business Practice Location Address
First Line	:	9225 FORT HAMILTON PKWY APT A3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7111
Country	:	US
Telephone Number	:	570-396-2945
Fax Number	:

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

Provider Enumeration Date	:	12/18/2020
Last Update Date	:	12/18/2020

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