ROBERT W SOUTHARD

RIVERHEAD, NY
NPI1972695377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F400418)
Enumeration Date2006-09-29
Last Update Date2010-12-10
Business Address
Mr. ROBERT W SOUTHARD NP
1380 ROANOKE AVE
RIVERHEAD, NY 11901-2098
Phone number: 631-369-0022
Mailing Address
Mr. ROBERT W SOUTHARD NP
1380 ROANOKE AVE
RIVERHEAD, NY 11901-2098
Phone number: 631-369-0022
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