Individual
DR. LISA G ROBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1745 BROADWAY, 17 FL, NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Mailing address
1745 BROADWAY, 17 FL, NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015933
NY
103TC0700X
Clinical Psychologist
Primary
015933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03513408
—
NY
Enumeration date
05/22/2007
Last updated
06/15/2015
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