MEDICARE: MICHELLE D ROBINSON M.D.

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	103TM1800X	Intellectual & Developmental Disabilities Psychologist
2	103TM1800X	Intellectual & Developmental Disabilities Psychologist	NONE

General Provider Information

NPI Number	:	1497810147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE D ROBINSON M.D.

Provider Business Mailing Address
First Line	:	12110 153RD ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-2324
Country	:	US
Telephone Number	:	347-495-4515
Fax Number	:

Provider Business Practice Location Address
First Line	:	12110 153RD ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-2324
Country	:	US
Telephone Number	:	347-495-4515
Fax Number	:

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

Provider Enumeration Date	:	12/23/2006
Last Update Date	:	09/11/2025

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