Basic Information
| Provider Information | |||||||||
| NPI: | 1578612271 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOLIN | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 PLAZA W STE 213 | ||||||||
| Address2: | SPEECH-LANGUAGE PATHOLOGY | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951572 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9145944262 | ||||||||
| FaxNumber: | 9145944853 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 PLAZA W STE 213 | ||||||||
| Address2: | SPEECH-LANGUAGE PATHOLOGY | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951572 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9145944262 | ||||||||
| FaxNumber: | 9145944853 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2007 | ||||||||
| LastUpdateDate: | 11/13/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 001727-1 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
ID Information
| ID | Type | State | Issuer | Description | 001727-1 | 01 | NY | SPEECH-LANGUAGE PATHOLOGI | OTHER |