Robyn Andersen
Individual provider Active NPI Specialist · West Islip, NY
NPI 1386512903 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1386512903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 128 Malts Ave
West Islip, NY 11795-2510 - Phone
- (631) 848-7906
- NPI assigned
- Oct 27, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
128 Malts Ave
West Islip, NY 11795-2510
Mailing address
128 Malts Ave
West Islip, NY 11795-2510
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.