Provider Demographics
NPI:1255927620
Name:ROBINSON, ASHLEY MAE (DRPH, IBCLC, RLC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MAE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DRPH, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 FORT HAMILTON PKWY APT A3C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7111
Mailing Address - Country:US
Mailing Address - Phone:570-396-2945
Mailing Address - Fax:
Practice Address - Street 1:9225 FORT HAMILTON PKWY APT A3C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7111
Practice Address - Country:US
Practice Address - Phone:570-396-2945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-301356174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAL-301356OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS