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Tahneemarie Louise Roberts, PA-C
Medical Physician Assistant in Deer Park, New York
NPI 1518373661

Tahneemarie Louise Roberts is a Medical Physician Assistant based in Deer Park, NY and is specialized in Medical. Tahneemarie Louise Roberts practices in Deer Park, NY and has the professional credentials of PA-C. The NPI Number for Tahneemarie Louise Roberts is 1518373661 and holds a License No. 017681 (New York).

The current practice location address for Tahneemarie Louise Roberts is 16 Van Cott Rd, Deer Park, NY and can be reached out via phone at 631-274-0777 and via fax at 631-274-9499.

Location: 16 Van Cott Rd, Deer Park, NY, 11729-6519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518373661
Provider Name
Tahneemarie Louise Roberts
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
16 Van Cott Rd, Deer Park, NY, 11729-6519
Phone Number
631-274-0777
Fax Number
631-274-9499
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Van Cott Rd
City
Deer Park
State
New York
Zip
11729-6519
Phone Number
631-274-0777
Fax Number
631-274-9499
person
Provider Business Mailing Address Details
Address
16 Van Cott Rd
City
Deer Park
State
New York
Zip
11729-6519
Phone Number
631-274-0777
Fax Number
631-274-9499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
017681 (New York)
Definition
Definition to come...
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