Individual
ROBIN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4198
(607) 658-6772
Mailing address
62 GRAND BLVD, BINGHAMTON, NY 13905-3326
(607) 658-6772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
691426-01
NY
363L00000X
Nurse Practitioner
Primary
309927
NY
Other
Enumeration date
06/05/2020
Last updated
05/11/2021
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