Basic Information
| Provider Information | |||||||||
| NPI: | 1801932264 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZENCHECK | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MA CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 33 NOTTINGHAM WAY | ||||||||
| Address2: | |||||||||
| City: | MAHOPAC | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105413775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456284368 | ||||||||
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| Practice Location | |||||||||
| Address1: | 40 JON BARRETT RD | ||||||||
| Address2: | |||||||||
| City: | PATTERSON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125632164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8458789078 | ||||||||
| FaxNumber: | 8458783203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 000763-1 | NY | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.