Individual
BRIAN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
45 VAN NOSTRAND AVE, GREAT NECK, NY 11024-1821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007037-1
NY
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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