GRACIE-ANN SAMADH ROBERTS

STATEN ISLAND, NY
NPI1407045917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  011794)
Enumeration Date2007-10-20
Last Update Date2016-08-11
Business Address
GRACIE-ANN SAMADH ROBERTS PHYSICIAN ASSISTANT
439 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1714
Phone number: 917-830-1235
Mailing Address
GRACIE-ANN SAMADH ROBERTS PHYSICIAN ASSISTANT
439 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1714
Phone number: 917-830-1235
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