Individual
JEREMY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF REHABILITATION MEDICINE HARKNESS PAVILION, 180 FORT WASHINGTON AVENUE, NEW YORK, NY 10032
(212) 305-3535
Mailing address
622 W 168TH ST # VC2-260, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
337671
NY
2081P0010X
Pediatric Rehabilitation Medicine Physician
337671
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
337671
NY
Other
Enumeration date
03/21/2018
Last updated
09/17/2025
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