Individual
MISS STEPHANIE A ROBILOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3239 ROUTE 112, MEDFORD, NY 11763-1432
(631) 953-7487
Mailing address
29 BIRCHWOOD RD, CORAM, NY 11727-4602
(631) 901-4224
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
NY
Other
Enumeration date
01/05/2015
Last updated
05/10/2016
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