Provider Demographics
NPI:1942294319
Name:SEPTON, ROBIN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:B
Last Name:SEPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8436
Mailing Address - Country:US
Mailing Address - Phone:631-666-0500
Mailing Address - Fax:631-666-0503
Practice Address - Street 1:332 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8436
Practice Address - Country:US
Practice Address - Phone:631-666-0500
Practice Address - Fax:631-666-0503
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233325207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH35287Medicare UPIN
NY3K5711Medicare ID - Type Unspecified