Stacy Roberts
Stacy Roberts is an Early Intervention Provider Agency in Rosedale, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
24612 135th AveRosedale, NY 11422-1608
Phone: (347) 785-4622
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1578240040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2023 |
| Last updated in NPPES | June 28, 2023 |
| Certification date | June 28, 2023 |
| Mailing address | 24612 135th Ave, Rosedale, NY 11422-1608 |
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