Individual
KYLENE MARGARET ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 BUNNER ST, OSWEGO, NY 13126-3357
(315) 349-8432
Mailing address
70 BUNNER ST, OSWEGO, NY 13126-3357
(315) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
01/08/2024
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