Individual
CAROLYN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
70 HATFIELD LN, STE 204, GOSHEN, NY 10924-6734
(845) 291-1260
(845) 294-2312
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1412
(845) 651-1512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552865
RN LICENSE
NY
Enumeration date
09/21/2009
Last updated
10/21/2010
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