Individual
WILLIAM EDWARD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
570 N PEARL ST, MENANDS, NY 12204-1659
(518) 475-6805
Mailing address
570 N PEARL ST, MENANDS, NY 12204-1659
(518) 475-6805
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
597043
NY
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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