Individual
MS. BRITTANY ROBERTS-BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1110 GRANVILLE PAYNE AVE, BROOKLYN, NY 11207-9003
(718) 691-6366
Mailing address
1110 GRANVILLE PAYNE AVE, BROOKLYN, NY 11207-9003
(718) 691-6366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028727-01
NY
Other
Enumeration date
11/29/2020
Last updated
04/17/2023
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