Provider Demographics
NPI:1891185377
Name:ROBIN L. SPILKO SLP, P.C.
Entity Type:Organization
Organization Name:ROBIN L. SPILKO SLP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SPILKO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:631-766-0617
Mailing Address - Street 1:9 TAKATS LN
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-2976
Mailing Address - Country:US
Mailing Address - Phone:631-766-0617
Mailing Address - Fax:
Practice Address - Street 1:9 TAKATS LN
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-2976
Practice Address - Country:US
Practice Address - Phone:631-766-0617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty