Individual
MR. JAMES CLIFTON ROBERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
617 W 168TH ST, NEW YORK, NY 10032-3703
(212) 305-4196
Mailing address
76 PINEHURST AVE APT 5, NEW YORK, NY 10033-4510
(207) 400-9759
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
523406
NY
367500000X
Certified Registered Nurse Anesthetist
R045040
ME
Other
Enumeration date
05/11/2006
Last updated
09/11/2012
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