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Jonathan Roberts

NPI 1023416542 · on the registry since 2014 · sole proprietor

Practice

Address
1212 Richmond Ave
Staten Island, NY 10314
Phone
(347) 226-1960

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York