Individual provider · Type 1 NPI

Matthew Roberts

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1093499295 Active

Practice location

1312 38th St
Brooklyn, NY 11218-3612

Call (718) 686-7600 Map

Mailing address

866 W End Ave Apt 2A
New York, NY 10025-8465

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X064272 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093499295

Matthew Roberts's National Provider Identifier is 1093499295, issued on Jun 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 8, 2024.