Individual
MS. ROBERTA COOKJERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
155 TOMPKINS AVE, STATEN ISLAND, NY 10304-2601
(718) 273-8622
(171) 872-7699
Mailing address
37 WALBROOKE AVE, STATEN ISLAND, NY 10301-2634
(718) 273-8622
(718) 727-6994
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
6897213
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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