Provider Demographics
NPI:1467727123
Name:ROBINSON, MARLENE PATRICIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:PATRICIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 35TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2307
Mailing Address - Country:US
Mailing Address - Phone:718-965-7650
Mailing Address - Fax:718-965-7675
Practice Address - Street 1:153 35TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-2307
Practice Address - Country:US
Practice Address - Phone:718-965-7650
Practice Address - Fax:718-965-7675
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302747-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool