# TERRY ROBERTSON DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366973232
- **Authorized official:** DR. TERRY LEROY ROBERTSON DPM (PRESIDENT)
- **Authorized official phone:** (212) 369-9494

## Contact information

- **Practice address:** 315 E 86TH ST, STE 1GE, NEW YORK, NY 10028-4714
- **Practice address phone:** (212) 369-9494
- **Mailing address:** 315 E 86TH ST, STE 1GE, NEW YORK, NY 10028-4714
- **Mailing address phone:** (212) 369-9494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006682 | NY | Yes |

## Other

- **Enumeration date:** 03/22/2017
- **Last updated:** 03/22/2017