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Individual

MOSHE D ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6700 KIRKVILLE RD, SUITE A, EAST SYRACUSE, NY 13057-9305
(315) 463-2013
(315) 463-2019
Mailing address
6700 KIRKVILLE RD, SUITE A, EAST SYRACUSE, NY 13057-9305
(315) 463-2013
(315) 463-2019

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
299492
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
299492
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05665256
NY
Enumeration date
04/15/2016
Last updated
03/25/2021
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