Individual
DOROTHY SHANAHAN-ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RN
Contact information
Practice address
918 ULSTER AVE, KINGSTON, NY 12401-1344
(845) 339-6683
Mailing address
918 ULSTER AVE, KINGSTON, NY 12401-1344
(845) 339-6683
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
667415
NY
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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