Provider Demographics
NPI:1821449224
Name:BIG ROBS LLC
Entity Type:Organization
Organization Name:BIG ROBS LLC
Other - Org Name:ROBIN SMITH
Other - Org Type:Other Name
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OTL
Authorized Official - Phone:914-391-3354
Mailing Address - Street 1:10 OLD JACKSON AVE
Mailing Address - Street 2:UNIT 52
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3203
Mailing Address - Country:US
Mailing Address - Phone:914-391-3354
Mailing Address - Fax:
Practice Address - Street 1:10 OLD JACKSON AVE
Practice Address - Street 2:UNIT 52
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3203
Practice Address - Country:US
Practice Address - Phone:914-391-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty