Provider Demographics
NPI:1922033307
Name:ROBINSON, MARY E (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1815 S CLINTON AVENUE
Mailing Address - Street 2:BLDG 300 STE 310
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-473-3535
Mailing Address - Fax:585-473-1837
Practice Address - Street 1:1815 S CLINTON AVENUE
Practice Address - Street 2:BLDG 300 STE 310
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-473-3535
Practice Address - Fax:585-473-1837
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY168663208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01107193Medicaid