Provider Demographics
NPI:1255541322
Name:ROBOTTI, FLAVIA (MD)
Entity type:Individual
Prefix:
First Name:FLAVIA
Middle Name:
Last Name:ROBOTTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 3RD AVE RM 401
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7454
Mailing Address - Country:US
Mailing Address - Phone:212-982-5006
Mailing Address - Fax:212-475-0134
Practice Address - Street 1:247 3RD AVE RM 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7454
Practice Address - Country:US
Practice Address - Phone:212-982-5006
Practice Address - Fax:212-475-0134
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1450362084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
56A821OtherEMPIRE BLUE CROSS & BLUE SHIELD
P1892880OtherOXFORD
0059344OtherGHI/BMP
NY00695941Medicaid
4413230OtherAETNA
206769OtherVALUE OPTIONS
NY00600871Medicaid
56A823OtherBLUE CROSS & BLUE SHIELD
NYG100000410Medicare Oscar/Certification
NY56A821Medicare PIN
NY00695941Medicaid
NYW6L111Medicare Oscar/Certification