1275259566 NPI number — TANYA ROBINSON CARE COORDINATOR

Table of content: TANYA ROBINSON CARE COORDINATOR (NPI 1275259566)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275259566 NPI number — TANYA ROBINSON CARE COORDINATOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINSON
Provider First Name:
TANYA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CARE COORDINATOR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275259566
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SPECTRUM HUMAN SERVICES
Provider Second Line Business Mailing Address:
227 THORN AVENUE
Provider Business Mailing Address City Name:
ORCHARD PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-662-2040
Provider Business Mailing Address Fax Number:
716-662-0019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1280 MAIN STREET 3RD FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14209-0256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-832-1251
Provider Business Practice Location Address Fax Number:
716-887-3833
Provider Enumeration Date:
10/18/2022

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: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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