Provider Demographics
NPI:1124003090
Name:ROBBINS, DAVID HERBERT (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HERBERT
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32886
Mailing Address - Street 2:BETH ISRAEL MEDICAL CENTER DEPT OF GASTROENTEROLOGY
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06150
Mailing Address - Country:US
Mailing Address - Phone:212-420-4605
Mailing Address - Fax:212-420-4373
Practice Address - Street 1:10 UNION SQUARE E
Practice Address - Street 2:STE 2G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-4245
Practice Address - Fax:212-420-4373
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220621207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02657629Medicaid
I31211Medicare UPIN
NY4V5811Medicare ID - Type Unspecified
NYA400003254Medicare PIN