Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 104367-1 | NY |
NPI | 1003459363 |
---|---|
Provider Name | Alexis Robins |
First Address | New York, NY 10025-5940 |
Second Address | New York, NY 10025-5940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2019 |
Last Update Date | 18/10/2019 |