Provider Demographics
NPI:1104815109
Name:ROBBINS, HERBERT (PHD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 CENTRAL PARK W
Mailing Address - Street 2:#4D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5860
Mailing Address - Country:US
Mailing Address - Phone:212-866-9263
Mailing Address - Fax:212-866-6678
Practice Address - Street 1:392 CENTRAL PARK W
Practice Address - Street 2:#4D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5860
Practice Address - Country:US
Practice Address - Phone:212-866-9263
Practice Address - Fax:212-866-6678
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002977103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V19531Medicare ID - Type Unspecified