Individual
LAURA ZINAIDA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
55 MOHAWK ST STE 101, COHOES, NY 12047-2600
(518) 233-9500
Mailing address
55 MOHAWK ST STE 101, COHOES, NY 12047-2600
(518) 233-9500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
597695-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382773
NY
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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