Individual
AMIYA GABRIELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 OFFALY ST, AMITYVILLE, NY 11701-1419
(631) 690-8433
Mailing address
111 PORTER AVE, BUFFALO, NY 14201-1053
(631) 690-8843
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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