Provider Demographics
NPI:1811368442
Name:DIFFLEY, ROBIN C (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:C
Last Name:DIFFLEY
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 1:76 MAMARONECK AVE
Mailing Address - Street 2:SUITE 18
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4217
Mailing Address - Country:US
Mailing Address - Phone:914-683-9400
Mailing Address - Fax:914-683-8010
Practice Address - Street 1:76 MAMARONECK AVE
Practice Address - Street 2:SUITE 18
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4217
Practice Address - Country:US
Practice Address - Phone:914-683-9400
Practice Address - Fax:914-683-8010
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY355049-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse