Individual
MISS DANIELLE D ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
403-1 MAIN STREET, PORT WASHINGTON, NY 11040
(516) 676-0200
Mailing address
403-1 MAIN STREET, PORT WASHINGTON, NY 11040
(516) 676-0200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255075
NY
Other
Enumeration date
09/28/2009
Last updated
03/26/2013
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