Provider Demographics
NPI:1649682915
Name:RISCHMAN, ROBIN
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:RISCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 BELL BLVD
Mailing Address - Street 2:APT 7A
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2023
Mailing Address - Country:US
Mailing Address - Phone:201-693-8827
Mailing Address - Fax:
Practice Address - Street 1:3616 BELL BLVD
Practice Address - Street 2:APT 7A
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2023
Practice Address - Country:US
Practice Address - Phone:201-693-8827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024577235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist