Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X2539 | NY |
NPI | 1104852961 |
---|---|
Provider Name | Dr. Frank J Robinson |
First Address | Waterford, NY 12188-2414 |
Second Address | Waterford, NY 12188-2414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 08/07/2007 |