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NPI Code Detail

MEDICARE: DENISE N/A ROBINSON

MEDICARE: DENISE N/A ROBINSON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor18335NY

General Provider Information

NPI Number : 1629576616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE N/A ROBINSON
Provider Business Mailing Address
First Line : 733 E 147TH ST
Second Line :
City : BRONX
State : NY
Zip : 10455-4348
Country : US
Telephone Number : 347-316-3284
Fax Number :
Provider Business Practice Location Address
First Line : 764 E 176TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-4606
Country : US
Telephone Number : 718-466-8092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2018
Last Update Date : 01/25/2018

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Directions to “ DENISE N/A ROBINSON ” Practice Location

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