Provider Demographics
NPI:1629081922
Name:ROBINSON, LESLY D (DPM)
Entity Type:Individual
Prefix:DR
First Name:LESLY
Middle Name:D
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22433
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2433
Mailing Address - Country:US
Mailing Address - Phone:215-777-5808
Mailing Address - Fax:215-777-5716
Practice Address - Street 1:148 N 8TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-2496
Practice Address - Country:US
Practice Address - Phone:215-777-5808
Practice Address - Fax:215-777-5825
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE10000160213E00000X
PASC004739L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA435641OtherHEALTH AMERICA HEALTH ASSURANCE
PAR01413023OtherBLUE SHIELD
DE1000033049Medicaid
PA231365971OtherUNITED HEALTH CARE
PA231365971OtherHUMANA
PA231365971071OtherTRICARE
PA480034974OtherTRAVELERS RR MEDICARE
PA3Y5400OtherHEALTH NET
PA7708633OtherAETNA PPO
DE7801845Medicaid
PAP2799961OtherOXFORD
PA2099960000OtherKEYSTONE HEALTH PLAN
DE231365DPMOtherBLUECROSS BLUE SHIELD
PA28824OtherHEALTH PARTNERS
PA0019087190003Medicaid
PA1494760OtherAETNA HMO
PA2663398002OtherCIGNA
PA30004595OtherKEYSTONE MERCY
PA13089OtherELDER HEALTH
DE231365DPMOtherBLUECROSS BLUE SHIELD
PA13089OtherELDER HEALTH
DE7801845Medicaid
DE491725Medicare PIN