Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | F381058 | NY |
N | 2080A0000X | Adolescent Medicine | F381058 | NY |
NPI | 1285605725 |
---|---|
Provider Name | Barbara J Robinson |
First Address | Jamestown, NY 14701-2519 |
Second Address | Jamestown, NY 14701-2519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F381058 | STATE LICENSE (01) | NY |