Provider Demographics
NPI:1871775452
Name:LAWRENCE J. ROBINSON, MD., P.C.
Entity type:Organization
Organization Name:LAWRENCE J. ROBINSON, MD., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-759-4014
Mailing Address - Street 1:333 GLEN HEAD RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1947
Mailing Address - Country:US
Mailing Address - Phone:516-759-4014
Mailing Address - Fax:516-759-4015
Practice Address - Street 1:333 GLEN HEAD RD
Practice Address - Street 2:SUITE 140
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1947
Practice Address - Country:US
Practice Address - Phone:516-759-4014
Practice Address - Fax:516-759-4015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA61795Medicare UPIN