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Individual

DR. TIMOTHY TIAN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
(516) 222-0749
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(631) 836-7613

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
273122-01
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME129130
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021214300
FL
Enumeration date
04/15/2010
Last updated
04/08/2024
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