Individual
BAYLA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 CUMBERLAND PL, LAWRENCE, NY 11559-1334
(917) 853-6296
Mailing address
128 CUMBERLAND PL, LAWRENCE, NY 11559-1334
(917) 853-6296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1218173
NY
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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