Individual
MS. DOLETTE URANNIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10370 103RD ST, OZONE PARK, NY 11417-1732
(516) 838-9384
Mailing address
10370 103RD ST, OZONE PARK, NY 11417-1732
(516) 838-9384
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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