Provider Demographics
NPI:1700903580
Name:FIAN, ROBBEE (LAC)
Entity Type:Individual
Prefix:MS
First Name:ROBBEE
Middle Name:
Last Name:FIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 W 43RD ST
Mailing Address - Street 2:SUITE 29E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6319
Mailing Address - Country:US
Mailing Address - Phone:212-564-5324
Mailing Address - Fax:
Practice Address - Street 1:484 W 43RD ST
Practice Address - Street 2:SUITE 29E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6319
Practice Address - Country:US
Practice Address - Phone:212-564-5324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist