Provider Demographics
NPI:1063740215
Name:ROBYN CROUTCH D C P C
Entity type:Organization
Organization Name:ROBYN CROUTCH D C P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CROUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-944-4469
Mailing Address - Street 1:8 HAVEN AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3636
Mailing Address - Country:US
Mailing Address - Phone:516-754-7118
Mailing Address - Fax:516-944-9644
Practice Address - Street 1:8 HAVEN AVE STE 223
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3636
Practice Address - Country:US
Practice Address - Phone:516-754-7118
Practice Address - Fax:516-944-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010011-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty