Gerry, Robin Michele
Gerry, Robin Michele is an sole proprietor health care provider with primary practice located at 1614 Goshen Turnpike , Middletown NY 10941. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gerry, Robin Michele can be contacted via phone (914) 406-5675.Contact Information
Primary practice address
1614 Goshen Turnpike
Middletown NY 10941
Phone: (914) 406-5675
Fax: (888) 402-5207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 39694 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 039694 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R039694-1 | New York |
Profile Details
| NPI number | 1306903398 |
|---|---|
| LBN Legal business name | Gerry, Robin Michele |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Mar 30th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306903398 | NPPES |
| New York | MEDICAID | 00542503 |
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