Provider Demographics
NPI:1518023092
Name:ROBINSON, IONEZ ANGELA
Entity Type:Individual
Prefix:
First Name:IONEZ
Middle Name:ANGELA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15326 121ST AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2304
Mailing Address - Country:US
Mailing Address - Phone:718-592-7888
Mailing Address - Fax:
Practice Address - Street 1:15326 121ST AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-2304
Practice Address - Country:US
Practice Address - Phone:718-592-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005772-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant