Provider Demographics
NPI:1841376795
Name:SCOTT, ROBIN L (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:871 PROSPECT AVENUE
Mailing Address - Street 2:SOUTH BRONX HEALTH CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459
Mailing Address - Country:US
Mailing Address - Phone:718-991-0605
Mailing Address - Fax:718-991-2931
Practice Address - Street 1:871 PROSPECT AVE
Practice Address - Street 2:SOUTH BRONX HEALTH CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3913
Practice Address - Country:US
Practice Address - Phone:718-991-0605
Practice Address - Fax:718-991-2931
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY217361208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics