Provider Demographics
NPI:1487723813
Name:SLOCUMB, ROBIN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:SLOCUMB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 LEXINGTON AVE
Mailing Address - Street 2:APT. 2W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8126
Mailing Address - Country:US
Mailing Address - Phone:347-423-0292
Mailing Address - Fax:
Practice Address - Street 1:247 W 35TH ST
Practice Address - Street 2:10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1908
Practice Address - Country:US
Practice Address - Phone:212-686-3796
Practice Address - Fax:212-686-2229
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY498354Medicare UPIN
NYX67871Medicare ID - Type UnspecifiedMEDICARE NUMBER