Provider Demographics
NPI:1699768069
Name:ROBINSON, MICHAEL D (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 AIRPORT EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5238
Mailing Address - Country:US
Mailing Address - Phone:845-356-2900
Mailing Address - Fax:845-356-7797
Practice Address - Street 1:327 ROUTE 59
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3420
Practice Address - Country:US
Practice Address - Phone:845-359-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202294208100000X, 208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY132721370OtherTAX ID#
NY2700475OtherHEALTHNET
NY94E492OtherEMPIRE BCBS (STONY POINT)
NY01934683Medicaid
NY1716J1OtherEMPIRE BCBS (AIRMONT)
NY2124202OtherAETNA HMO
NY4299887OtherAETNA PPO
NY2700475OtherGHI PPO
NY392989OtherMVP (AIRMONT/STONY POINT)
NY94E493OtherEMPIRE BCBS (MONROE)
NY392991OtherMVP (MONROE)
NYP402546OtherOXFORD
NY250010982OtherRAILROAD MEDICARE
NY250010982OtherRAILROAD MEDICARE
NY392991OtherMVP (MONROE)
NY4299887OtherAETNA PPO