Provider Demographics
NPI:1437995347
Name:GARCIA, ROBIN (BSN, FNP)
Entity type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:BSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8411 LANDER ST APT 10
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2077
Mailing Address - Country:US
Mailing Address - Phone:917-514-1870
Mailing Address - Fax:
Practice Address - Street 1:6405 YELLOWSTONE BLVD STE CF104
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1588
Practice Address - Country:US
Practice Address - Phone:718-885-4257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY735894163W00000X
NY354629363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse