Individual
MRS. AMY L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
627 BROADWAY, SUITE 1, MASSAPEQUA, NY 11758-5031
(516) 308-4040
(516) 804-6386
Mailing address
627 BROADWAY, SUITE 1, MASSAPEQUA, NY 11758-5031
(516) 308-4040
(516) 804-6386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014615-1
NY
Other
Enumeration date
04/19/2011
Last updated
03/29/2016
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