Provider Demographics
NPI:1932183639
Name:HIMMELSTEIN, ROBIN (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:HIMMELSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 N VILLAGE AVE
Mailing Address - Street 2:STE 114
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3701
Mailing Address - Country:US
Mailing Address - Phone:516-536-1331
Mailing Address - Fax:516-536-8850
Practice Address - Street 1:165 N VILLAGE AVE
Practice Address - Street 2:STE 114
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3701
Practice Address - Country:US
Practice Address - Phone:516-536-1331
Practice Address - Fax:516-536-8850
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147690207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00766445Medicaid
AS1490OtherOXFORD
112644803OtherJJ NEWMAN
112644803OtherMULTIPLAN
221820OtherUNITED HEALTHCARE
87A871OtherBCBS
27379OtherVYTRA
AB45705OtherMDNY
112644803OtherMAGNACARE
070015294OtherRAILROAD MEDICARE
0079785OtherGHI
2C9589OtherHEALTHNET
8098924OtherCIGNA
NY00766445Medicaid
0079785OtherGHI