1053612515 NPI number — MRS. MARGARET ANN ROBINSON RN

Table of content: MRS. MARGARET ANN ROBINSON RN (NPI 1053612515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053612515 NPI number — MRS. MARGARET ANN ROBINSON RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINSON
Provider First Name:
MARGARET
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAMPBELL
Provider Other First Name:
MARGARET
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1053612515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 265
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MT. VERNON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-625-3290
Provider Business Mailing Address Fax Number:
914-663-4723

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 PARK AVE.
Provider Second Line Business Practice Location Address:
APT 5-S
Provider Business Practice Location Address City Name:
MT VERNON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-625-3290
Provider Business Practice Location Address Fax Number:
914-663-4723
Provider Enumeration Date:
11/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  #473807-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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