Provider Demographics
NPI:1043343957
Name:ROBBINS, BIANCA A (RN)
Entity type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:A
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15683 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:NY
Mailing Address - Zip Code:14477-9770
Mailing Address - Country:US
Mailing Address - Phone:585-659-2947
Mailing Address - Fax:
Practice Address - Street 1:15683 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:NY
Practice Address - Zip Code:14477-9770
Practice Address - Country:US
Practice Address - Phone:585-659-2947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY574262163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02850255Medicaid