Provider Demographics
NPI:1073603890
Name:ALPINE, ROBIN J (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:J
Last Name:ALPINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2152
Mailing Address - Country:US
Mailing Address - Phone:516-825-6861
Mailing Address - Fax:
Practice Address - Street 1:186 HAMILTON RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-2152
Practice Address - Country:US
Practice Address - Phone:516-678-4410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV3C721Medicare ID - Type Unspecified