Provider Demographics
NPI:1346517992
Name:ROBINSON, NYOKA (RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:NYOKA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 ROCKAWAY PARKWAY
Mailing Address - Street 2:4-O
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4338
Mailing Address - Country:US
Mailing Address - Phone:347-393-0351
Mailing Address - Fax:
Practice Address - Street 1:1625 ROCKAWAY PARKWAY
Practice Address - Street 2:4-O
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4338
Practice Address - Country:US
Practice Address - Phone:347-393-0351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007285133N00000X
IL883113133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist