Individual
DR. MARK ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
405 E 73RD ST, NEW YORK, NY 10021-3865
(212) 787-3128
Mailing address
2600 NETHERLAND AVE APT 2401, BRONX, NY 10463-4839
(718) 884-1488
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000556
NY
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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