Jaclyn Roberts is a Specialist in Brooklyn, New York. Jaclyn Roberts practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jaclyn Roberts is 1922006238. The last update date is 2010-01-22.
Jaclyn Roberts's current location address is 5014 Fort Hamilton Pkwy, Brooklyn, New York. You can contact this provider via phone number 7182838965 and fax number 7186358977. The mailing address for Jaclyn Roberts is 5014 Fort Hamilton Pkwy, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Roberts |
|---|---|
| Address | 5014 Fort Hamilton Pkwy, Brooklyn, New York |
| Phone Number | 7182838965 |
| Fax Number | 7186358977 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922006238 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2010-01-22 |
Provider Mailing Address Detail
| Address | 5014 Fort Hamilton Pkwy |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112193324 |
| Phone Number | 7182838965 |
| Fax Number | 7186358977 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 191880-1 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1873418 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jaclyn Roberts?
The Jaclyn Roberts has been issued the NPI (National Provider Identifier) 1922006238 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jaclyn Roberts is located?
The Jaclyn Roberts is situated at the following address: 5014 Fort Hamilton Pkwy, Brooklyn, NY, 112193324.
What is the Jaclyn Roberts's specialty and taxonomy code?
The Jaclyn Roberts's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Jaclyn Roberts receive its 1922006238?
The Jaclyn Roberts was issued its 1922006238 on 2005-07-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jaclyn Roberts most recently updated or revised?
The information pertaining to Jaclyn Roberts, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-22.