Provider Demographics
NPI:1821149824
Name:LABINSON, ROBERT M (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:LABINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 RIVERSIDE DR
Mailing Address - Street 2:#2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2605
Mailing Address - Country:US
Mailing Address - Phone:212-877-6981
Mailing Address - Fax:212-877-6981
Practice Address - Street 1:140 RIVERSIDE DR
Practice Address - Street 2:2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2605
Practice Address - Country:US
Practice Address - Phone:212-877-6981
Practice Address - Fax:212-877-6981
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY146683207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00865581Medicaid
A62311Medicare UPIN
NY55410TMedicare ID - Type Unspecified