Individual
RAVEN STRANGE-ROBORTACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
243 NORTH RD STE 304, POUGHKEEPSIE, NY 12601-1173
(845) 471-9410
(845) 471-7943
Mailing address
243 NORTH RD STE 304, POUGHKEEPSIE, NY 12601-1173
(845) 471-9410
(845) 471-7943
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
345517
NY
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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