MEDICARE: KRISTIN ROBIE 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	207R00000X	Internal Medicine Physician	ME88410	FL

General Provider Information

NPI Number	:	1942205091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ROBIE M.D.

Provider Business Mailing Address
First Line	:	1916 WHISPERWOOD WAY
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-6660
Country	:	US
Telephone Number	:	386-322-5835
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-4512
Country	:	US
Telephone Number	:	212-289-5795
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/03/2008

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