Provider Information for 1972801991
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JESUS A ROBLES LMSW
Sex: Male
NPI: 1972801991
Last Updated: 2013-11-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1972801991 | ||||||||
| Enumeration Date | 2011-03-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2186 CRUGER AVE APT 2A BRONX, NY 10462-1606 United States Phone: 646-685-7113 | Fax: | ||||||||
| Primary Practice Address | 525 E 68TH ST NEW YORK, NY 10065-4870 United States Phone: 212-746-4099 | Fax: | ||||||||
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