Individual
DR. KRISTEN E ROBILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 E MAIN ST, ENDICOTT, NY 13760-4925
(607) 785-2460
(607) 785-2584
Mailing address
415 E MAIN ST, ENDICOTT, NY 13760-4925
(607) 785-2460
(607) 785-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
193513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01560609
—
NY
Enumeration date
11/13/2006
Last updated
03/19/2021
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