Individual
HEATHER ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 GREENFIELD RD, SYOSSET, NY 11791-4831
(516) 496-7900
Mailing address
104 WANTAGH AVE S, EAST ISLIP, NY 11730-1237
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9415867
NY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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