Provider Demographics
NPI:1295775823
Name:KNAPP, ROBIN GAIL (NURSE MIDWIFE)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:GAIL
Last Name:KNAPP
Suffix:
Gender:F
Credentials:NURSE MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1435
Mailing Address - Country:US
Mailing Address - Phone:516-375-4101
Mailing Address - Fax:
Practice Address - Street 1:BASSETT MEDICAL CENTER
Practice Address - Street 2:1 ATWELL RD
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326
Practice Address - Country:US
Practice Address - Phone:607-547-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000773367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF360467-1OtherNURSE PRACTITIONER
NYF000773OtherNYS LICENSE