Provider Demographics
NPI:1104983741
Name:ALLOY, ROBIN S (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:S
Last Name:ALLOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 WHALERS CV
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-2913
Mailing Address - Country:US
Mailing Address - Phone:631-587-1494
Mailing Address - Fax:631-587-8390
Practice Address - Street 1:149 WHALERS CV
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-2913
Practice Address - Country:US
Practice Address - Phone:631-587-1494
Practice Address - Fax:631-587-8390
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR027454-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN1390Medicare UPIN