Provider Demographics
NPI:1073918041
Name:ROBINSON, CRAIG RICHARD (NP)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:RICHARD
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 RXR PLAZA
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556
Mailing Address - Country:US
Mailing Address - Phone:516-252-3939
Mailing Address - Fax:516-640-5757
Practice Address - Street 1:1236 RXR PLAZA
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11556
Practice Address - Country:US
Practice Address - Phone:516-252-3939
Practice Address - Fax:516-640-5757
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-03
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307133363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology