Provider Demographics
NPI:1053488247
Name:ROBINSON, CAROLA E (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLA
Middle Name:E
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLA
Other - Middle Name:E
Other - Last Name:BAGNARELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30 N UNION RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5367
Mailing Address - Country:US
Mailing Address - Phone:716-633-6363
Mailing Address - Fax:716-633-4419
Practice Address - Street 1:30 N UNION RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5367
Practice Address - Country:US
Practice Address - Phone:716-633-6363
Practice Address - Fax:716-633-4419
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242466207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00027826502OtherUNIVERA HEALTHCARE
NY0714044OtherINDEPENDENT HEALTH
NY000528950002OtherBLUECROSSBLUESHIELD
NY070501000051OtherFIDELIS CARE NY