Individual
KEISHA BERNARD-ROBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11821 218TH ST, CAMBRIA HEIGHTS, NY 11411-1909
(347) 420-9459
Mailing address
11821 218TH ST, CAMBRIA HEIGHTS, NY 11411-1909
(347) 420-9459
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1420718
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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