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NPI Code Detail

MEDICARE: MICHELLE ROBINSON LMSW

MEDICARE: MICHELLE ROBINSON LMSW
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
1104100000XSocial Worker080118NY

General Provider Information

NPI Number : 1386970713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ROBINSON LMSW
Provider Business Mailing Address
First Line : 600 S WILBUR AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 S WILBUR AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2730
Country : US
Telephone Number : 315-476-7441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 04/08/2013

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Directions to “ MICHELLE ROBINSON LMSW” Practice Location

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