Provider Demographics
NPI:1235476524
Name:ROBINSON, CLIFTON (CNA)
Entity Type:Individual
Prefix:MR
First Name:CLIFTON
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-5518
Mailing Address - Country:US
Mailing Address - Phone:315-832-6109
Mailing Address - Fax:
Practice Address - Street 1:302 RIVER RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-5518
Practice Address - Country:US
Practice Address - Phone:315-832-6109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343358341212E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide