Provider Demographics
NPI:1932144060
Name:ROBBINS, ALLAN M
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:M
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 EMPIRE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2130
Mailing Address - Country:US
Mailing Address - Phone:585-787-0500
Mailing Address - Fax:585-787-2066
Practice Address - Street 1:364 SENECA RD
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1039
Practice Address - Country:US
Practice Address - Phone:607-324-5000
Practice Address - Fax:607-324-1271
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124728-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY102243CROtherPREF CARE, PREF GOLD
D02019Medicare UPIN
14184BMedicare PIN
565140AMedicare PIN
NY1256030001Medicare NSC
565140BMedicare PIN
56514BMedicare PIN