Individual
ANTHONY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
246 BEACH 79TH ST, ROCKAWAY BEACH, NY 11693-2008
(718) 249-7888
Mailing address
246 BEACH 79TH ST APT B, ROCKAWAY BEACH, NY 11693-2008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22-525433
NY
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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