Wesley Roberts
Registered Nurse in Staten Island, NY. Individual provider (NPI-1).
NPI number1639760424
StatusActive
Last updated in NPPESFeb 3, 2021
Details
- NPI
- 1639760424
- Entity type
- Individual (NPI-1)
- Name
- Wesley Roberts
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2021
- Certification date
- Feb 3, 2021
- Last updated
- Feb 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 697723 | NY | Yes |
Practice location
65 Lincoln St Fl 2condStaten Island, NY 10314-5668
Phone 646-288-4646
Mailing address
65 Lincoln St Fl 2condStaten Island, NY 10314-5668
Phone 646-288-4646
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