Individual
TAHNEEMARIE LOUISE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16 VAN COTT RD, DEER PARK, NY 11729-6519
(631) 274-0777
(631) 274-9499
Mailing address
16 VAN COTT RD, DEER PARK, NY 11729-6519
(631) 274-0777
(631) 274-9499
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017681
NY
Other
Enumeration date
07/09/2014
Last updated
03/05/2020
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