Organization
ROBERTA BROWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LISA BROWN RN (REGISTERED NURSE)
(585) 260-7532
Entity
Organization
Contact information
Practice address
600 LAKE RD, WEBSTER, NY 14580-1520
(585) 260-7532
Mailing address
600 LAKE RD, WEBSTER, NY 14580-1520
(585) 260-7532
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
570716-1
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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