Individual
MS. SHARESE A. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CASACI
Contact information
Practice address
620 TRONOLONE PLACE, NIAGARA FALLS, NY 14301
(716) 205-0825
(716) 205-0824
Mailing address
525 WASHINGTON STREET, MANAGED CARE DEPARTMENT, BUFFALO, NY 14203
(716) 856-4494
(716) 842-1277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354003
COMMUNITY BLUE
NM
Enumeration date
09/21/2006
Last updated
07/08/2007
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