Provider Demographics
NPI:1316097017
Name:GALLOB, ROBIN (RN, MS)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:GALLOB
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Gender:F
Credentials:RN, MS
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Mailing Address - Street 1:3101 RIDGE RD W
Mailing Address - Street 2:BUILDING C
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3249
Mailing Address - Country:US
Mailing Address - Phone:585-225-1700
Mailing Address - Fax:585-225-1439
Practice Address - Street 1:3101 RIDGE RD W
Practice Address - Street 2:BUILDING C
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3249
Practice Address - Country:US
Practice Address - Phone:585-225-1700
Practice Address - Fax:585-225-1439
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2011-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY380059363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics