Provider Demographics
NPI:1285669754
Name:CIRILLO, ROBYN (MA)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:
Last Name:CIRILLO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W 11TH ST
Mailing Address - Street 2:APT. 8C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8664
Mailing Address - Country:US
Mailing Address - Phone:917-680-3868
Mailing Address - Fax:
Practice Address - Street 1:60 E 12TH ST
Practice Address - Street 2:SUITE 1L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5019
Practice Address - Country:US
Practice Address - Phone:212-529-4937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health