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Individual

AMANTINE ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 W 145TH ST, NEW YORK, NY 10039-3142
(518) 844-9198
Mailing address
300 W 145TH ST, NEW YORK, NY 10039-3142
(518) 844-9198

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
470126
NY

Other

Enumeration date
04/05/2017
Last updated
04/05/2017
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