Provider Demographics
NPI:1508946443
Name:ROBINSON, JOSEPH E (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-1247
Mailing Address - Country:US
Mailing Address - Phone:518-481-8000
Mailing Address - Fax:518-481-8027
Practice Address - Street 1:45 6TH ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1247
Practice Address - Country:US
Practice Address - Phone:518-481-8000
Practice Address - Fax:518-481-8026
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058580L207L00000X
NY203824208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10183337Medicaid
PA101833370Medicaid
G31021Medicare UPIN