Organization
PRIMITIS MOBILE EXAMINERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTINE WILLIAMS LPN (NURSE)
(929) 522-8054
Entity
Organization
Contact information
Practice address
20 STANLEY PL, YONKERS, NY 10705-1165
(929) 522-8054
Mailing address
5997 RIVERDALE AVE, BRONX, NY 10471-1602
(929) 522-8054
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
286855-1
NY
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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