Provider Demographics
NPI:1821056631
Name:YIRINEC, ROBIN (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:YIRINEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-0460
Mailing Address - Fax:585-922-0470
Practice Address - Street 1:77 SULLYS TRAIL
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534
Practice Address - Country:US
Practice Address - Phone:585-248-5300
Practice Address - Fax:585-248-3427
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180964208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1214032OtherIHA #
NY101314DLOtherPREFERRED CARE #
NYP010180964OtherBLCH #
NY050802000072OtherFIDELIS CARE #
NY00020849202OtherUNIVERA #
NYCC2302Medicare ID - Type Unspecified