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Individual

BEVERLEY JANE ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
40 OCEANA DR W # 1C, BROOKLYN, NY 11235-6665
(718) 490-4310
(347) 673-6966
Mailing address
40 OCEANA DR W # 1C, BROOKLYN, NY 11235-6665

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40401416
NY

Other

Enumeration date
08/10/2011
Last updated
08/10/2011
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