Individual
MS. CHANTEL A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-6756
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(646) 899-4020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F308035-1
NY
Other
Enumeration date
11/09/2017
Last updated
04/15/2019
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