Individual ProviderRobin SewallFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address632 Broadway, Ph, New York, NY 10012(800) 731-4254PECOS EnrollmentBased on the most recent information from CMS, provider Robin Sewall is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1912349184Provider TypeIndividualFull NameSewall, RobinGenderFemaleSole ProprietorNoEnumeration Date7/29/2013Last Updated12/17/2021Contact InformationPractice LocationPractice Address632 Broadway, Ph, New York, NY 10012Phone(800) 731-4254Fax(205) 332-1383Mailing LocationMailing Address64 Bleecker St # 151, New York, NY 10012-2410Phone(800) 731-4254Fax(205) 332-1383Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense201407549NP-PPOregonProvider IdentifiersIDDescriptionIssuerID500681693DescriptionMedicaidIssuerUnlistedOregon