Organization
TERRY ROBERTSON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY LEROY ROBERTSON DPM (PRESIDENT)
(212) 369-9494
Entity
Organization
Contact information
Practice address
315 E 86TH ST, STE 1GE, NEW YORK, NY 10028-4714
(212) 369-9494
Mailing address
315 E 86TH ST, STE 1GE, NEW YORK, NY 10028-4714
(212) 369-9494
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006682
NY
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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