| Doctor Name: | MRS. JENNIFER ANN ROBINSON |
| NPI Number: | 1376885301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 008389 |
| Business Practice Address: | 28 Brookfield Ln South Setauket, NY - 117201410 |
| Business Phone Number: | 6318807373 |
| Business Fax Number: | |
| Mailing Address: | 1312 Middle Country Rd, SEDEN |
| State: | NY |
| Postal Code: | 11784 |
| Phone Number: | 6316896554 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2013 |
| NPI Last Update Date: | 03/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 008389 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |