Provider Demographics
NPI:1356698385
Name:ROBBINS, POLINA
Entity type:Individual
Prefix:MS
First Name:POLINA
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 AVENUE Z
Mailing Address - Street 2:APT. 2E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1658
Mailing Address - Country:US
Mailing Address - Phone:718-986-5145
Mailing Address - Fax:
Practice Address - Street 1:2965 AVENUE Z
Practice Address - Street 2:APT. 2E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1658
Practice Address - Country:US
Practice Address - Phone:718-986-5145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator