Active NPI
Ina Robin Mufson
- Developmental Therapist
- Central Valley, NY
National Provider Identifier
1174861975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2 Corporate Drive
Suite 203
Central Valley, NY 10917 - Phone
- (845) 928-9780
- NPI assigned
- Jan 29, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
2 Corporate Drive
Suite 203
Central Valley, NY 10917
Mailing address
P.O Box 195
Dynamic Center
Florida, NY 10921
Phone (845) 928-9780
NPI Registry JSON
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1174861975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 195",
"address_2": "DYNAMIC CENTER",
"city": "FLORIDA",
"state": "NY",
"postal_code": "10921",
"telephone_number": "845-928-9780",
"fax_number": "845-928-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CORPORATE DRIVE",
"address_2": "SUITE 203",
"city": "CENTRAL VALLEY",
"state": "NY",
"postal_code": "10917",
"telephone_number": "845-928-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUFSON",
"first_name": "INA",
"middle_name": "ROBIN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.