Provider Demographics
NPI:1891733119
Name:ROBINS, PERRY (MD)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:
Last Name:ROBINS
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 1:625 PARK AVE
Mailing Address - Street 2:C/O COSMETIQUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-986-4498
Mailing Address - Fax:212-686-5842
Practice Address - Street 1:211 EAST 43RD STREET
Practice Address - Street 2:ROOM 744
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-986-4498
Practice Address - Fax:212-686-5842
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100226246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
475441Medicare PIN