Provider Demographics
NPI:1255510392
Name:ROBBINS, LINDA FLORENCE (RN, BS,ADS,RT,CASAC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:FLORENCE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:RN, BS,ADS,RT,CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 CHAFFEE RD
Mailing Address - Street 2:
Mailing Address - City:ARCADE
Mailing Address - State:NY
Mailing Address - Zip Code:14009-9706
Mailing Address - Country:US
Mailing Address - Phone:585-457-4243
Mailing Address - Fax:
Practice Address - Street 1:422 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1023
Practice Address - Country:US
Practice Address - Phone:585-786-8133
Practice Address - Fax:585-786-9928
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437804163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00740423Medicaid