MEDICARE: YVONNE ROBINSON LPN

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	164W00000X	Licensed Practical Nurse	292680-1	NY

General Provider Information

NPI Number	:	1528337409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE ROBINSON LPN

Provider Business Mailing Address
First Line	:	PO BOX 54
Second Line	:
City	:	BALDWIN
State	:	NY
Zip	:	11510-0054
Country	:	US
Telephone Number	:	347-432-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1254 80TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3511
Country	:	US
Telephone Number	:	347-432-6200
Fax Number	:

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

Provider Enumeration Date	:	12/21/2011
Last Update Date	:	03/14/2012

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