Provider Demographics
NPI:1518125046
Name:ROBLES, CHRISTINE KAREN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:KAREN
Last Name:ROBLES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:KAREN
Other - Last Name:DE LA CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 CLINTON AVE
Mailing Address - Street 2:APT. 4S
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2874
Mailing Address - Country:US
Mailing Address - Phone:347-538-1460
Mailing Address - Fax:
Practice Address - Street 1:390 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4403
Practice Address - Country:US
Practice Address - Phone:631-422-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258012208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics