MR. Willard Ray Roberts III
NPI #1528130929 in East Moriches, New York
Provider Information
- NPI Number
- 1528130929
- Entity Type
- Individual
- Name
- MR. Willard Ray Roberts III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 100 MORICHES ISLAND RD
- City
- East Moriches
- State
- New York
- ZIP Code
- 11940-1315
- Phone
- (631) 395-4436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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