Provider Demographics
NPI:1548516248
Name:ROBINSON, ELIZABETH JOHNSTONE (NPP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JOHNSTONE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5725
Mailing Address - Country:US
Mailing Address - Phone:845-897-3885
Mailing Address - Fax:
Practice Address - Street 1:63 BROADWAY
Practice Address - Street 2:
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-5725
Practice Address - Country:US
Practice Address - Phone:845-897-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7881252363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health