Provider Demographics
NPI:1811254949
Name:KRAJEWSKI, ROBIN ANN (RN, NPP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANN
Last Name:KRAJEWSKI
Suffix:
Gender:F
Credentials:RN, NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 KINGS PARK RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1643
Mailing Address - Country:US
Mailing Address - Phone:631-543-0275
Mailing Address - Fax:
Practice Address - Street 1:142-20 20TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-559-0516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY400043101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health