Provider Demographics
NPI:1598081481
Name:MILLER, ROBIN YVETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:YVETTE
Last Name:MILLER
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 1:210 BEACH 47TH STREET
Mailing Address - Street 2:FAR ROCKAWAY
Mailing Address - City:N.Y.
Mailing Address - State:NY
Mailing Address - Zip Code:11691
Mailing Address - Country:US
Mailing Address - Phone:718-471-4400
Mailing Address - Fax:
Practice Address - Street 1:210 BEACH 47TH ST
Practice Address - Street 2:FAR ROCKAWAY
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-1100
Practice Address - Country:US
Practice Address - Phone:718-471-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4044541163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult