Individual
TAMICA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE FL 4, BRONX, NY 10451-5007
(646) 638-6399
Mailing address
250 E 178TH ST, BRONX, NY 10457-4040
(347) 638-6399
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
NY
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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