Provider Demographics
NPI:1356432314
Name:HEATH-CARRASQUILLO, ROBYNE (CNM)
Entity type:Individual
Prefix:MRS
First Name:ROBYNE
Middle Name:
Last Name:HEATH-CARRASQUILLO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MALCOM X BLVD , APT 720
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:917-492-5912
Mailing Address - Fax:718-963-8529
Practice Address - Street 1:130 MALCOM X BLVD , APT 720
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026
Practice Address - Country:US
Practice Address - Phone:917-492-5912
Practice Address - Fax:718-963-8529
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000718367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife