MEDICARE: DR. BRUCE PHILIP 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	207N00000X	Dermatology Physician	178928	NY
2	207NS0135X	Procedural Dermatology Physician	178928	NY

General Provider Information

NPI Number	:	1700871829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE PHILIP ROBINSON M.D.

Provider Business Mailing Address
First Line	:	121 E 60TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-1117
Country	:	US
Telephone Number	:	212-750-7121
Fax Number	:	212-750-1445

Provider Business Practice Location Address
First Line	:	121 E 60TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-1117
Country	:	US
Telephone Number	:	212-750-7121
Fax Number	:	212-750-1445

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	09/20/2007

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