Individual
JACQUELINE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 DALE PL, UNIONDALE, NY 11553-3001
(516) 967-6399
Mailing address
717 DALE PL, UNIONDALE, NY 11553-3001
(516) 967-6399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
091006-01
NY
Other
Enumeration date
06/08/2015
Last updated
11/03/2025
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