Individual
MISS COURTNEY ANNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3611 31ST AVE, APT. 3G, ASTORIA, NY 11106-1050
(717) 968-8004
Mailing address
3611 31ST AVE, APT. 3G, ASTORIA, NY 11106-1050
(717) 968-8004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
637988-1
NY
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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