Provider Demographics
NPI:1477829018
Name:ROBBINS, ALICIA ISABEL (MD)
Entity Type:Individual
Prefix:MISS
First Name:ALICIA
Middle Name:ISABEL
Last Name:ROBBINS
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 1:1 E PUTNAM AVE FL LL
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5429
Mailing Address - Country:US
Mailing Address - Phone:203-935-8454
Mailing Address - Fax:203-643-2054
Practice Address - Street 1:1 E PUTNAM AVE FL LL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5429
Practice Address - Country:US
Practice Address - Phone:203-935-8454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277498207V00000X
CT61936207VG0400X
CT061936207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008083144Medicaid
NY04524443Medicaid