Stacy Roberts

NPI #1578240040 in Rosedale, New York

Provider Information

NPI Number
1578240040
Entity Type
Individual
Name
Stacy Roberts
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jun 28, 2023
Last Updated
Jun 28, 2023

Practice Location

Address
24612 135TH AVE
ZIP Code
11422-1608
Phone
(347) 785-4622

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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