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Dr. Eric L Roberts, MD
Specialist in Port Jefferson, New York
NPI 1265549265

Eric L Roberts is a Specialist based in Port Jefferson, NY. Eric L Roberts practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Eric L Roberts is 1265549265 and holds a License No. 190325 (New York).

The current practice location address for Eric L Roberts is 60 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-474-4200 and via fax at 631-474-4202.

Location: 60 N Country Rd, Port Jefferson, NY, 11777-2188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265549265
Provider Name
Eric L Roberts
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
60 N Country Rd, Port Jefferson, NY, 11777-2188
Phone Number
631-474-4200
Fax Number
631-474-4202
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01575424 05 NY
institution
Provider Business Practice Location Address Details
Address
60 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2188
Phone Number
631-474-4200
Fax Number
631-474-4202
person
Provider Business Mailing Address Details
Address
60 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2188
Phone Number
631-474-4200
Fax Number
631-474-4202
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
190325 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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