Individual
NICOLE ELIZABETH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 E GUN HILL RD, BRONX, NY 10469-3720
(718) 918-8892
Mailing address
1012 E GUN HILL RD, BRONX, NY 10469-3720
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
487360-1
NY
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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