Individual
ELISE ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15050 14TH RD, WHITESTONE, NY 11357-2609
(718) 767-0071
Mailing address
48 MULBERRY ST, NEW YORK, NY 10013-4352
(646) 642-0170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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