MEDICARE: JAMES NATHAN ROBINSON MD

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	207QS0010X	Sports Medicine (Family Medicine) Physician	54467	TN
2	207QS0010X	Sports Medicine (Family Medicine) Physician	22313	MS
3	207QS0010X	Sports Medicine (Family Medicine) Physician	302216	NY

General Provider Information

NPI Number	:	1881857159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES NATHAN ROBINSON MD

Provider Business Mailing Address
First Line	:	148 39TH ST FL 7
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-2550
Country	:	US
Telephone Number	:	646-422-5929
Fax Number	:	646-422-5930

Provider Business Practice Location Address
First Line	:	148 39TH ST FL 7
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-2550
Country	:	US
Telephone Number	:	646-422-5929
Fax Number	:	646-422-5930

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

Provider Enumeration Date	:	07/08/2008
Last Update Date	:	03/25/2021

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