Provider Demographics
NPI:1689814907
Name:ROBINSON, VIRGINIA (LPN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16345 130TH AVE
Mailing Address - Street 2:APT 4C4E
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3026
Mailing Address - Country:US
Mailing Address - Phone:718-558-0316
Mailing Address - Fax:
Practice Address - Street 1:16345 130TH AVE
Practice Address - Street 2:APT 4C4E
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-3026
Practice Address - Country:US
Practice Address - Phone:718-558-0316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182854164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY182854OtherNYS NURSING LICENSE