Individual
CLEMENTE ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13732 96TH PL, OZONE PARK, NY 11417-2843
(917) 951-1540
Mailing address
13732 96TH PL, OZONE PARK, NY 11417-2843
(917) 951-1540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1093-P.A.
PR
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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