Individual
ANASTASIA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
119 E 19TH ST APT 2G, BROOKLYN, NY 11226-8613
(917) 412-8605
Mailing address
119 E 19TH ST APT 2G, BROOKLYN, NY 11226-8613
(917) 412-8605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1217010
NY
Other
Enumeration date
06/20/2012
Last updated
06/28/2012
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