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Jenna Robertson
NPI 1376195404 · on the registry since 2019
Practice
- Address
- 46 Shaber Rd
Patchogue, NY 11772 - Phone
- (516) 567-3813
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 171M00000X
- Licence states on file
- NY, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-19
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