Provider Demographics
NPI:1295815843
Name:ROBIN, HUBERT G (DO)
Entity Type:Individual
Prefix:
First Name:HUBERT
Middle Name:G
Last Name:ROBIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:HUBERT
Other - Middle Name:G
Other - Last Name:ROBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:32 ELENA DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7011
Mailing Address - Country:US
Mailing Address - Phone:718-405-8247
Mailing Address - Fax:718-405-8253
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-696-2583
Practice Address - Fax:718-881-5074
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005296363A00000X
NY285654207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant