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NPI Code Detail

MEDICARE: CHARLES FREDERICK ROBINSON SERVICE COORDINATOR

MEDICARE:   CHARLES FREDERICK ROBINSON  SERVICE COORDINATOR
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558007054
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES FREDERICK ROBINSON SERVICE COORDINATOR
Provider Business Mailing Address
First Line : 519 GAINES ST
Second Line :
City : ELMIRA
State : NY
Zip : 14904-1527
Country : US
Telephone Number : 607-331-1258
Fax Number :
Provider Business Practice Location Address
First Line : 519 GAINES ST
Second Line :
City : ELMIRA
State : NY
Zip : 14904-1527
Country : US
Telephone Number : 607-331-1258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2022
Last Update Date : 05/07/2022

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Directions to “ CHARLES FREDERICK ROBINSON SERVICE COORDINATOR” Practice Location

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