Provider Demographics
NPI:1982344305
Name:ROBIL, YOUSTINA
Entity Type:Individual
Prefix:
First Name:YOUSTINA
Middle Name:
Last Name:ROBIL
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 1:77 SELKIRK ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-1778
Mailing Address - Country:US
Mailing Address - Phone:718-269-7001
Mailing Address - Fax:
Practice Address - Street 1:77 SELKIRK ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-1778
Practice Address - Country:US
Practice Address - Phone:718-269-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist