Provider Demographics
NPI:1215024633
Name:ROBBINS, DAVID G (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4683 MERRICK ROAD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758
Mailing Address - Country:US
Mailing Address - Phone:516-799-2525
Mailing Address - Fax:516-799-0015
Practice Address - Street 1:4683 MERRICK ROAD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-799-2525
Practice Address - Fax:516-799-0015
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOO5330213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01855903Medicaid
NY5253510001Medicare NSC
NY01855903Medicaid
NYP00631Medicare PIN