Individual
ADELLA STACY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 PACIFIC ST, APT 7, BROOKLYN, NY 11201-5731
(917) 586-4898
Mailing address
230 PACIFIC ST, APT 7, BROOKLYN, NY 11201-5731
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
585132
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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