Most Relevant Information
Provider Data
| NPI Number: | 1003496159 |
| Provider Name: | COLLEEN M ROBERTS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2021 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
1727 N OCEAN AVE
MEDFORD
NY
117632649
Practice Location Phone/Fax
| Phone: | 6316541919 |
| Fax: |
Provider Mailing Location
1727 N OCEAN AVE
MEDFORD
NY
117632649
Provider Mailing Phone/Fax
| Phone: | 6316541919 |
| Fax: |