Provider Demographics
NPI:1699977033
Name:ROBOKOS, DIMITRA (PHD)
Entity type:Individual
Prefix:DR
First Name:DIMITRA
Middle Name:
Last Name:ROBOKOS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 PELHAM PKWY SOUTH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-430-8600
Mailing Address - Fax:718-892-2296
Practice Address - Street 1:1410 PELHAM PKWY SOUTH
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-430-8600
Practice Address - Fax:718-892-2296
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001328101YM0800X
NY0179861103TC0700X
NY017986103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical