Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 300888 | NY |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 98-352253-1204 | UT |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 300888 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 98-352253-1204 | UT |
NPI | 1326097486 |
---|---|
Provider Name | Dr. Hallie J Robbins |
First Address | New York, NY 10128-0782 |
Second Address | Midvale, UT 84047-1436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 24/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
612080200 | ACS (01) |