Provider Demographics
NPI:1275677924
Name:UNGER, ROBIN HEATHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:HEATHER
Last Name:UNGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6591
Mailing Address - Country:US
Mailing Address - Phone:212-249-9393
Mailing Address - Fax:212-249-4032
Practice Address - Street 1:620 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6591
Practice Address - Country:US
Practice Address - Phone:212-249-9393
Practice Address - Fax:212-249-4032
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222701-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist