Basic Information
| Provider Information | |||||||||
| NPI: | 1558409144 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEJOIE ROBINSON | ||||||||
| FirstName: | MARIE | ||||||||
| MiddleName: | CHANTALE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 760 BROADWAY ROOM 2B230 DEPARTMENT OF MANAGED CARE | ||||||||
| Address2: | WOODHULL MEDICAL & MENTAL HEALTH CENTER | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189638000 | ||||||||
| FaxNumber: | 7186303122 | ||||||||
| Practice Location | |||||||||
| Address1: | OAK STREET HEALTH- CAMBRIA HEIGHTS | ||||||||
| Address2: | |||||||||
| City: | 222-19 LINDEN BLVD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187656055 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2007 | ||||||||
| LastUpdateDate: | 10/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2119511 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.