Individual
CHRISTINA MARIE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 CHESTNUT RIDGE RD, KIRKVILLE, NY 13082-9432
(315) 491-2545
Mailing address
1276 CHESTNUT RIDGE RD, KIRKVILLE, NY 13082-9432
(315) 491-2545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295219-1
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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