Individual
AMANDA M ROUBLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1256 CULVER AVE., UTICA, NY 13501
(315) 738-7186
(315) 738-0188
Mailing address
1256 CULVER AVE., UTICA, NY 13501
(315) 738-7186
(315) 738-0188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
279063-1
NY
208000000X
Pediatrics Physician
A122395
CA
Other
Enumeration date
05/03/2011
Last updated
10/09/2015
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