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Individual

MRS. CHEVEL A ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 478-3200
Mailing address
11 OAK RD, AMITYVILLE, NY 11701-1012
(631) 478-3200

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
264764
NY

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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